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Hawaii rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.72 / $913.72 / $913.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.73 / $913.73 / $913.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.81 / $717.81 / $717.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $610.76 / $712.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $589.98 / $763.44