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Hawaii rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.24 / $3.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.83 / $2.34