go back

Hawaii rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.48 / $76.33 / $114.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.29 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.36 / $1.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.90 / $4.19