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Indiana rates for HCPCS 90632

Hepatitis A vaccine (HepA), adult dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $169.82 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $109.65 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $147.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $131.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $102.33