go back

New Jersey 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 / $52.48 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $38.90
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $43.65 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $43.65 / $43.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $46.77