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Illinois rates for HCPCS 90633

Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $55.65 / $99.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $49.08 / $78.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.59 / $157.58 / $546.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $46.92 / $46.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $24.25 / $92.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.64 / $19.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $17.54 / $33.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $43.73 / $47.47