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Hawaii rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.61 / $112.61 / $112.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $95.11 / $110.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $92.56 / $118.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $89.80 / $99.50