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Hawaii rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.91 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.65 / $3.02