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Iowa 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
$40.74 / $40.74 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.90 / $47.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.99 / $91.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $69.18 / $69.18
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $46.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90