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Hepatitis A Vaccine, Child Dose

Washington 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 $47 · 10th–90th $26$560%20%10th90th$47Professionalmedian $52 · 10th–90th $40$1410%10%20%10th90th$52$5.0$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
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$38.02
Typical High
$95.50
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$56.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$46.77
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$47.86