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Idaho 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
Professional
Modifier
Low / Median / High Price
$177.56 / $177.56 / $534.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
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
$177.56 / $188.21 / $253.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $195.32 / $221.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.44 / $252.65 / $368.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $205.59 / $210.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $186.90 / $186.90