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Nebraska 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 / $44.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $58.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $26.51 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $26.23 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $30.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.43 / $144.50 / $144.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $29.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $52.10 / $55.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $51.84 / $69.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $28.65