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Virginia rates for HCPCS 90633

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

Facilitymedian $46 · 10th–90th $13–$660%20%10th90th$46Professionalmedian $41 · 10th–90th $35–$710%20%40%10th90th$41$10.0$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $42.66 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $43.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $61.66
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $67.61
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $50.12