go back

Hawaii rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $32.88 / $32.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $52.82 / $79.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $29.15 / $61.43