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Oklahoma 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
$43.65 / $43.65 / $43.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.97 / $44.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $43.83 / $43.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $43.65 / $169.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $42.89 / $46.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $42.66 / $47.47