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Hawaii rates for HCPCS 90633

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $56.80 / $143.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.06 / $43.06 / $43.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $42.66 / $59.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $38.49 / $41.08