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Minnesota 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 / $58.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $48.10 / $82.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $38.64 / $38.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $77.64 / $94.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $21.87 / $30.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.92 / $70.84 / $88.92
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $22.05 / $26.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $45.70 / $55.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $31.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $32.24