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Hawaii rates for HCPCS 90750

Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $323.59
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $223.87