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Delaware 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
$76.38 / $76.38 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $40.71 / $48.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.76 / $76.76 / $76.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $59.34