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Hawaii rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.76 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.65 / $0.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.08 / $1.85