go back

Hawaii rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $30.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $19.82 / $23.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $18.88 / $24.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $18.88 / $20.29