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Hawaii rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $24.72 / $24.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.73 / $24.73 / $24.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $17.20 / $20.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.36 / $21.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $12.62 / $16.50