go back

Hawaii rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.77 / $270.77 / $270.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $219.81 / $307.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $232.75 / $232.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.72 / $258.61 / $323.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $180.15 / $226.28