go back

Montana rates for HCPCS 90632

Hepa Vaccine Adult Dose For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $116.00 / $511.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $73.79 / $142.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.28 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.36 / $82.36 / $180.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.36 / $93.78 / $93.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.36 / $82.36 / $180.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $80.06 / $104.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $95.98 / $101.93