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Idaho 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
$39.54 / $49.08 / $84.56
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $40.72 / $58.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $39.13 / $39.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.48 / $51.48 / $52.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.51 / $47.47