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Oklahoma rates for HCPCS 90634

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

Facilitymedian $33 · 10th–90th $33–$330%50%$33Professionalmedian $30 · 10th–90th $25–$330%50%10th90th$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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $34.67 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $28.84