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Georgia 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 / $36.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $146.00 / $146.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $33.65