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Hawaii rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.60 / $45.90 / $57.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.72 / $7.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.60 / $8.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.19 / $18.75