go back

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
$40.65 / $40.65 / $51.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $54.17 / $144.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $38.75 / $47.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $22.23 / $58.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $47.50 / $66.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.99 / $44.06 / $55.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $49.20 / $68.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $49.20 / $64.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.42 / $69.42 / $69.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $44.70 / $46.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $38.85 / $38.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $38.85 / $38.85