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Hawaii rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $22.96 / $30.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $20.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.48 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $26.23 / $29.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.51 / $27.75