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Hawaii rates for HCPCS J9260

Injection, methotrexate sodium, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.84 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.82 / $4.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.38 / $4.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.99 / $4.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.74 / $4.34