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Texas rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.89 / $204.05 / $293.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $195.89 / $204.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.40 / $283.73 / $699.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.40 / $159.40 / $159.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.40 / $130.40 / $130.40
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.32 / $492.01 / $596.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.96 / $195.89 / $291.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.34 / $99.34 / $244.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $280.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $179.39 / $179.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.72 / $194.68 / $194.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.00 / $237.60