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West Virginia rates for HCPCS 90633

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

Facilitymedian $66 · 10th–90th $41–$910%10%20%10th90th$66Professionalmedian $41 · 10th–90th $35–$710%20%40%10th90th$41$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $66.07 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $37.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $208.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $338.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $50.12