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Hawaii rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,083.00 / $23,229.71 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,383.52 / $23,789.46 / $23,789.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,170.54 / $23,170.54 / $23,170.54
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
$18,417.91 / $23,323.00 / $34,984.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,740.70 / $2,740.70 / $2,740.70