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North Dakota 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 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $24.38 / $30.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $43.67 / $92.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $26.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $27.44