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Hawaii rates for HCPCS 0111A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 25 mcg/0.25 mL dosage; first dose

Insurance Carrier
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.32 / $43.32 / $43.32