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Maine rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $179.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $188.87 / $289.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $179.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $164.98 / $247.47