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Hawaii rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.22 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.27 / $2.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.59 / $3.80