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Colorado 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
$37.90 / $40.72 / $204.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $50.13 / $84.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.09 / $70.83 / $125.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $46.80 / $46.80
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.19 / $40.72 / $58.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $47.47