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Hawaii rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $37.40 / $74.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.48 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $2.90 / $4.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.39 / $2.31