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Hawaii rates for HCPCS J2788

Injection, Rho D immune globulin, human, minidose, 50 mcg (250 IU)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $46.38 / $46.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.39 / $46.39 / $46.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $35.86 / $35.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $30.71 / $35.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $29.47 / $38.39
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $29.72 / $32.40