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Hawaii rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.04 / $308.47 / $339.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $371.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.33 / $360.33 / $360.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.17 / $309.70 / $464.57
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $189.43 / $435.08