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Tennessee 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 / $145.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $165.11 / $165.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $28.65