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Minnesota 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
$30.20 / $40.74 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $40.74 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $125.89 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $47.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.23 / $141.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $42.66 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $43.65 / $58.88