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Wisconsin rates for HCPCS 90632

Hepa Vaccine Adult Dose For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.79 / $141.72 / $218.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $92.27 / $193.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $82.95 / $100.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.06 / $154.22 / $154.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.78 / $171.11 / $244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $154.51 / $175.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.53 / $72.68 / $105.48
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.58 / $147.58 / $147.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $72.68 / $195.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.74 / $97.09 / $147.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $72.16 / $97.87
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.53 / $72.68 / $105.48
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.58 / $147.58 / $147.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.79 / $111.84 / $221.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.18 / $316.18 / $316.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $93.78 / $93.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.12 / $103.60 / $103.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.94 / $95.98 / $147.80