go back

Hawaii rates for HCPCS 90698

Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.79 / $144.00 / $445.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $113.99 / $113.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.38 / $134.99 / $180.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.76 / $111.48 / $126.07