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Utah rates for HCPCS 90636

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

Facilitymedian $76 · 10th–90th $13–$2140%20%10th90th$76Professionalmedian $135 · 10th–90th $129–$2090%50%10th90th$135$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $75.86 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $158.49 / $169.82