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Hawaii rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.74 / $925.74 / $925.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.22 / $707.22 / $707.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.10 / $594.65 / $693.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $581.28 / $743.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.87 / $578.59 / $624.88