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Nebraska 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
$110.61 / $186.93 / $423.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.50 / $134.83 / $215.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.69 / $342.44 / $696.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.38 / $148.32 / $157.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.57 / $256.18 / $835.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $145.66 / $158.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.35 / $136.81 / $150.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $136.81 / $180.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $149.65 / $198.65