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Minnesota rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Facilitymedian $60 · 10th–90th $39–$830%20%10th90th$60Professionalmedian $32 · 10th–90th $25–$390%20%10th90th$32$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $30.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $75.86 / $91.20
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $24.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $42.66