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Indiana rates for HCPCS 90636

Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.83 / $302.88 / $314.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $134.83 / $157.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.05 / $264.86 / $397.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $135.08 / $186.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $70.09 / $91.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $70.09 / $87.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $148.32 / $388.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $149.65 / $158.91