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Hawaii rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.45 / $11.85 / $15.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $15.20 / $15.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $27.17 / $31.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $15.20 / $19.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $15.20 / $24.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $23.01 / $31.86