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Hepatitis A Vaccine, Child Dose

South Dakota rates for HCPCS 90633

A hepatitis A vaccine given as an injection into the muscle, in the strength used for children and adolescents. It is given as a two-dose course, with the second dose at least six months after the first. It protects against a liver infection spread through contaminated food, water or close contact.

Facilitymedian $39 · 10th–90th $30$810%20%40%10th90th$39Professionalmedian $41 · 10th–90th $38$650%20%10th90th$41$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$64.57
Avera
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$57.54
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$42.66
Typical High
$42.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$50.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90