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Hawaii rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.94 / $826.94 / $826.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.16 / $576.16 / $576.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.22 / $518.42 / $604.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $473.55 / $648.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $449.30 / $562.95