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Hawaii rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $16.13 / $21.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.25 / $363.38 / $427.50