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North Dakota 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
$40.72 / $40.72 / $54.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $40.71 / $40.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $42.21 / $42.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $38.25 / $47.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $41.73 / $121.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $42.89 / $42.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $43.52 / $44.70