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Hawaii rates for HCPCS J0770

Injection, colistimethate sodium, up to 150 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.45 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.45 / $18.20