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Hawaii rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.50 / $211.34 / $442.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.77 / $223.77 / $223.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.35 / $248.63 / $310.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.08 / $176.56 / $217.69