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Hawaii rates for HCPCS 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.49 / $19.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $11.22