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Hawaii rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $67.31 / $78.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $62.42 / $84.15