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Mississippi 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
$21.88 / $39.81 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $46.77