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Hawaii rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $20.21 / $23.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.93 / $25.26
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $18.82 / $21.43