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Maryland 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
$9.09 / $40.42 / $189.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $40.42 / $61.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.46 / $46.46 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $38.39 / $44.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $42.66 / $44.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $39.24 / $39.24