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Texas rates for HCPCS 90634

Hepa Vaccine 3 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $38.44 / $46.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $36.90 / $44.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.96 / $24.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $144.50 / $165.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.41 / $38.86 / $54.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $27.51 / $27.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.96 / $38.44 / $54.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $33.00 / $39.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.51 / $48.03 / $48.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $27.44 / $28.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $48.60