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Arizona rates for HCPCS 90633

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

Facilitymedian $102 · 10th–90th $42–$2630%10%10th90th$102Professionalmedian $52 · 10th–90th $40–$1410%10%20%10th90th$52$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $93.33 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $151.36 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $57.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $47.86