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Hawaii rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.08 / $64.08 / $64.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.64 / $49.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $42.53
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $44.12 / $50.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $43.53 / $54.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $38.27 / $54.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $40.72 / $45.72