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Illinois rates for HCPCS 90634

Hepa Vaccine 3 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $33.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $35.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.59 / $157.81 / $574.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.21 / $63.21 / $63.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.94 / $71.94 / $71.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $22.23 / $102.53
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
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.89 / $29.14