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Hawaii rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.71 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.85 / $0.89