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Hawaii rates for HCPCS 90713

Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.51 / $121.51 / $151.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $52.80 / $171.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $48.18 / $48.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.87 / $53.53 / $67.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $40.68 / $46.97