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New York 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
$30.90 / $30.90 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $46.77 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $51.29 / $89.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $37.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $32.36
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $89.13