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Hawaii rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.77 / $179.68 / $179.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.64 / $10.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $13.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $8.82 / $10.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $10.26 / $11.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $6.62 / $11.30