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Utah rates for HCPCS 90636

Hepatitis A & B Vaccine Hepa-Hepb Adult Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $134.83 / $252.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.57 / $134.83 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $156.27 / $158.91