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North Carolina 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 / $33.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $48.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $32.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $28.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $100.00 / $165.11