go back

Hawaii rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.43 / $16.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.55 / $7.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $12.41 / $14.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $10.34 / $15.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $9.00 / $16.36