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Hawaii rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.43 / $20.43 / $20.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.42 / $15.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $16.79 / $16.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $8.82 / $16.93