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Missouri 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
$40.71 / $54.38 / $67.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.25 / $40.72 / $54.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.65 / $66.52 / $102.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $45.46 / $45.46
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
$40.42 / $52.66 / $169.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.99 / $42.32 / $47.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $47.47