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Hawaii rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $7.96 / $7.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $13.58 / $18.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.08 / $15.00