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Hepatitis A Vaccine, Child and Teen Dose

Montana rates for HCPCS 90634

The child and adolescent strength of the vaccine that protects against hepatitis A, a liver infection spread through contaminated food or water and close contact. It is given as a shot into the muscle of the upper arm or thigh, and lasting protection builds over a course of doses spaced months apart. It contains killed virus, so it cannot cause the infection.

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $48$520%50%10th90th$51Professionalmedian $31 · 10th–90th $29$520%50%10th90th$31$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$58.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$58.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$28.84