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Hawaii rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $35.44 / $35.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $30.08 / $45.12
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $21.51 / $28.21