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Hawaii rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.20 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.29 / $5.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.32 / $4.61