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Kansas 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
$186.21 / $371.54 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $218.78 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
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 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $169.82 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $177.83 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $181.97 / $199.53