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Hawaii rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $14.26 / $14.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $9.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $9.46 / $11.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.14 / $11.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $9.66 / $14.78