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Hawaii rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $7.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.55 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.11 / $8.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $5.34 / $6.57