go back

Hawaii rates for HCPCS 90670

Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.65 / $270.00 / $498.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.41 / $244.41 / $244.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.79 / $309.58 / $361.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $309.58 / $386.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.09 / $237.75 / $257.99