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Kentucky 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 / $40.72 / $73.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $40.72 / $51.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.86 / $46.73 / $46.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $39.63 / $39.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.40 / $26.84 / $43.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $25.62 / $34.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.66 / $43.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.63 / $43.83 / $110.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $46.68