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Idaho rates for HCPCS 90634

Hepa Vaccine 3 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $30.75 / $43.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $29.14 / $33.99