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Hawaii rates for HCPCS 90691

Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $239.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $131.83 / $173.78