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West Virginia 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 / $31.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.09 / $25.91 / $38.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $33.56 / $33.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $140.31 / $140.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $145.88 / $145.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $24.28 / $31.00