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Hawaii rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,287.00 / $6,287.00 / $6,287.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,808.72 / $31,896.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,287.01 / $6,287.01 / $6,287.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,758.33 / $3,758.33 / $3,758.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.92 / $4,393.00 / $5,125.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $4,260.06 / $5,491.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.58 / $3,482.15 / $4,295.56