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Hawaii rates for HCPCS J0131

Injection, acetaminophen, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.15 / $37.84 / $77.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.22