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Maryland 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 / $35.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $36.02 / $36.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $36.44 / $47.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $27.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $23.91 / $23.91