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Washington 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
$133.12 / $221.04 / $237.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.15 / $134.83 / $209.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.76 / $151.13 / $566.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.76 / $142.76 / $158.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $148.32 / $452.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $130.93 / $245.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.25 / $155.25 / $157.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.13 / $151.13 / $151.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.42 / $143.58 / $158.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.76 / $142.76 / $142.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.76 / $142.76 / $142.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $149.65 / $158.91