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Utah 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 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.65 / $42.84 / $54.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $27.44 / $29.14