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Hawaii rates for HCPCS J0132

Acetylcysteine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.46 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.59 / $0.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.24 / $3.10