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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
$26.92 / $32.36 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $32.36 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $45.71 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.81 / $40.74
CareSource
Facility/Professional
Facility
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
$43.65 / $43.65 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $29.51 / $40.74
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $93.33 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $83.18 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $69.18