go back

California 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 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $58.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.56 / $33.67 / $38.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $34.99 / $79.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $90.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $60.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $144.50 / $165.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $43.97 / $78.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $31.82 / $34.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $81.80 / $81.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $27.44 / $62.47