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Washington, DC 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 / $81.28 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $39.81 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $42.66 / $51.29