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Hawaii rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $93.40 / $93.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.78 / $4,195.67 / $8,112.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $93.40 / $93.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.95 / $71.95 / $71.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.81 / $60.88 / $71.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $59.14 / $76.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $58.43 / $63.57