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Hawaii rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.78 / $31.78 / $31.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.77 / $31.77 / $31.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.83 / $25.83 / $25.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.78 / $25.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $21.22 / $27.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $20.05 / $22.82