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Hawaii rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.35 / $6.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.27 / $6.69
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.18 / $5.66