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Hawaii rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.16 / $120.16 / $120.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $61.81 / $55,018.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.16 / $120.16 / $120.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $85.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.36 / $71.30 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $70.52 / $89.12
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $68.50 / $75.81