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North Carolina rates for HCPCS 90634

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

Facilitymedian $34 · 10th–90th $30$450%50%10th90th$34Professionalmedian $30 · 10th–90th $30$350%50%90th$30$20.0$50.0$100.0

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 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $37.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $28.84
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78