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Kansas 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 / $36.90 / $37.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $37.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.63 / $43.82 / $45.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $38.19 / $38.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $37.82 / $60.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $25.93 / $29.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $27.44 / $29.14