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Iowa rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $163.24 / $163.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $205.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $160.50 / $200.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $150.00 / $290.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $187.16 / $306.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.53 / $186.43 / $195.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $145.36 / $187.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.87 / $144.09 / $215.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $186.43 / $194.68