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Hawaii rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.95 / $1.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.90 / $1.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.91 / $1.27