go back

Indiana rates for HCPCS 90633

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

Facilitymedian $60 · 10th–90th $41–$1620%20%10th90th$60Professionalmedian $41 · 10th–90th $35–$930%20%10th90th$41$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $91.20 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $26.30 / $45.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.30 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $52.48