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Hawaii rates for HCPCS 90694

Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $69.20 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $73.29 / $73.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $81.43 / $116.04
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.93 / $71.68 / $77.36