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Hawaii rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $30.20 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.02 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.69 / $3.55