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Hawaii rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $11.86 / $11.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $13.00 / $19.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $7.37 / $13.00