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Hawaii rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $20.72 / $31.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $14.97 / $20.70