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Hawaii rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.00 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.93 / $1.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.79 / $0.99