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Arkansas rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $46.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $33.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.74 / $28.74 / $28.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $28.74 / $28.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $24.28 / $27.44