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Indiana 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
$120.23 / $275.42 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $269.15 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $316.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $199.53