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Hawaii rates for HCPCS 90474

Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $15.16 / $62.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $22.00 / $27.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $14.96 / $17.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $15.59 / $20.91
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $11.80 / $13.88