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Hawaii rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.94 / $98.94 / $98.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $58.33 / $6,035.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.94 / $98.94 / $98.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.17 / $80.17 / $80.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.67 / $67.28 / $78.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $65.89 / $84.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $54.59 / $70.83