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Hawaii rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $7.61 / $34.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.32 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.16 / $0.23