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Hawaii rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $14.98 / $14.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $16.00 / $24.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $14.40