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Hawaii rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $26.77 / $26.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $6.23 / $6.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.44 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.54 / $3.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.21 / $8.66