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Hawaii rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $196.92 / $385.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.21 / $166.21 / $166.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $149.63 / $230.85
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $132.72 / $175.33