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Hawaii rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.38 / $7.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.25 / $7.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.98 / $6.72