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Illinois 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 / $179.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $186.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.20 / $698.58 / $2,701.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.07 / $202.07 / $202.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.69 / $171.55 / $296.73
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.38 / $141.49 / $154.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $197.98