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Hawaii rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.42 / $751.42 / $751.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.83 / $468.83 / $468.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.33 / $461.82 / $538.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.42 / $451.88 / $577.28