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Hawaii rates for HCPCS J7608

Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.78 / $14.78 / $14.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $8.66 / $9.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $10.39 / $12.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $9.77 / $12.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $6.89 / $9.86