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Hawaii rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.49 / $31.49 / $31.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $24.28 / $36.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $34.54 / $34.71