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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
$16.30 / $16.95 / $59.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $13.38 / $20.07
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $11.26