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Hawaii rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $7.65 / $55.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $1.36 / $4.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.14 / $0.25