go back

Hawaii rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $21.02 / $21.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.03 / $21.03 / $21.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $13.74 / $13.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.77 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $10.97 / $11.29
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $12.14 / $24.00