go back

Iowa 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 / $64.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $19.69 / $30.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $22.23 / $105.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.00 / $51.84 / $69.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $27.44 / $58.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.18 / $52.19 / $71.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $51.84 / $67.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $27.44 / $28.65