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Hawaii rates for HCPCS J1451

Injection, fomepizole, 15 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $7.17 / $7.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $12.43 / $18.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31