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Hawaii rates for HCPCS 90700

Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $44.80 / $111.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $32.42 / $32.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $35.70 / $44.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.69 / $30.48 / $35.86