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Hawaii rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $12.66 / $16.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $15.82 / $96.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $16.25 / $16.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.05 / $29.09 / $34.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $16.25 / $20.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $16.25 / $26.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $24.61 / $34.07