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Virginia 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 / $75.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $42.40 / $43.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.26 / $33.26 / $46.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $31.00