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Kentucky 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 / $30.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $36.00 / $36.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $26.36 / $45.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $26.81 / $35.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.66 / $28.66 / $33.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $140.31 / $140.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $28.65