go back

Hawaii rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.47 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.85
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.43 / $2.69