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Hawaii rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.86 / $15.86 / $15.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.86 / $15.86 / $15.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.05 / $13.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $10.81 / $12.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $10.72 / $13.52
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $9.65 / $11.71