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Washington 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 / $179.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.75 / $492.01 / $492.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.05 / $192.05 / $290.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $717.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.75 / $214.70 / $217.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $186.43 / $197.98