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Maine rates for HCPCS 90632

Hepatitis A vaccine (HepA), adult dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $109.65 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $85.11 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $95.50 / $251.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $85.11 / $131.83