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Hawaii rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.95 / $214.95 / $253.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.20 / $298.30 / $447.45
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.47 / $219.32 / $309.86