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West 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
$40.72 / $66.73 / $90.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $40.72 / $52.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.98 / $24.76 / $35.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.60 / $55.60 / $55.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $110.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.88 / $56.36 / $337.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.51 / $52.51 / $53.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $42.66 / $61.78