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Hawaii rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.17 / $409.17 / $409.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.66 / $357.54 / $536.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.64 / $441.55 / $506.52