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Georgia 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
$27.08 / $40.42 / $211.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $45.68 / $61.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $45.61 / $48.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $39.63 / $39.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $40.95 / $80.26
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $29.19 / $40.65
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $155.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.38 / $116.38 / $116.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $54.82