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Hawaii rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.94 / $45.94 / $45.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.23 / $3,374.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $26.42 / $30.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $24.93 / $33.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $25.13 / $29.30