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Wyoming rates for HCPCS 90633

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $40.42 / $111.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $46.80 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $44.70 / $47.47