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Pennsylvania 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
$80.56 / $108.48 / $156.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $134.83 / $209.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.83 / $158.62 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $150.69 / $150.69
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.43 / $129.43 / $196.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.59 / $134.83 / $229.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $134.83 / $209.41
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.57 / $123.57 / $123.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.57 / $123.57 / $123.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $158.62 / $216.27