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Virginia 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
$13.02 / $40.72 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $40.72 / $69.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $39.63 / $39.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $43.83 / $43.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $41.45 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $40.95 / $62.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.94 / $44.14 / $57.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $44.14 / $57.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $50.51