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Arizona rates for HCPCS 90633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.79 / $94.40 / $100.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $51.42 / $132.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.86 / $151.63 / $260.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.97 / $46.50 / $248.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.74 / $46.37 / $57.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $44.06 / $46.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $44.70 / $47.47