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Hawaii rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.82 / $2.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.78 / $2.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.69 / $1.91