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Nebraska rates for HCPCS 90633

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use

Facilitymedian $43 · 10th–90th $33–$1700%20%10th90th$43Professionalmedian $48 · 10th–90th $35–$720%10%10th90th$48$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $41.69 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $52.48 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $42.66 / $46.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $46.77