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Hawaii rates for HCPCS 90685

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $23.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $20.50 / $23.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $22.78 / $34.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $23.35 / $23.35