go back

Hawaii rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.25 / $6.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.86 / $3.37