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Alaska rates for HCPCS 90739

Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.42 / $138.53 / $156.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $177.56 / $195.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.45 / $111.45 / $111.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $177.56 / $571.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.02 / $248.02 / $389.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $77.94 / $77.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.45 / $248.02 / $584.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $174.44 / $192.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $155.75 / $186.90