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North Carolina 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
$25.70 / $69.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $37.15 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $60.26
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 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $38.02 / $43.65
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $69.18 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $46.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04