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Kansas 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
$40.42 / $44.72 / $48.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $42.50 / $50.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.65 / $51.02 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $45.13 / $45.13
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $38.64 / $52.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $42.32 / $46.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $44.70 / $47.47