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Connecticut 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
$39.81 / $114.82 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $61.66 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $43.65 / $43.65
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $43.65