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Hawaii rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $493.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.82 / $482.82 / $482.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.50 / $411.77 / $604.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.29 / $497.78 / $699.64