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Oregon rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $235.00 / $235.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $205.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.78 / $358.78 / $358.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.65 / $230.81 / $276.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $211.26 / $350.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.94 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.75 / $214.70 / $217.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $233.43 / $600,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.43 / $179.39 / $273.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $192.05 / $197.98