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Maine rates for HCPCS 90636

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $134.83 / $148.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.46 / $409.46 / $409.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $135.08 / $135.08
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $156.00 / $239.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $134.83 / $155.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $132.43 / $198.65