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Hepatitis A Vaccine, Child Dose

Wisconsin 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 $44 · 10th–90th $41$2040%50%10th90th$44Professionalmedian $59 · 10th–90th $40$1200%10%20%10th90th$59$20.0$50.0$100.0$200.0

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
$40.74
Median
$43.65
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$61.66
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$40.74
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$46.77
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$63.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$97.72
Quartz
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$85.11
Typical High
$138.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Security Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$109.65
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
$69.18