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Alabama rates for HCPCS 90633

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $58.88 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $44.67 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $44.67