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Hawaii rates for HCPCS J7200

Injection, Factor IX, (antihemophilic factor, recombinant), Rixubis, per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.02 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.98 / $2.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.88 / $2.13