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Louisiana 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 / $183.42 / $239.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $134.83 / $134.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $150.69 / $226.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $150.69 / $153.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $58.80 / $58.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.90 / $149.65 / $158.91