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Hawaii rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.27 / $96.27 / $96.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $79.97 / $93.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $79.12 / $99.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $79.79 / $85.06