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Hawaii rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.10 / $34.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.43 / $2.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.39 / $3.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.41 / $3.32