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Arkansas rates for HCPCS 90633

Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $40.72 / $60.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.72 / $64.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $38.85 / $38.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $38.85 / $38.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $41.54 / $44.70