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Maine rates for HCPCS 90739

Hepb Vaccine Adult 2/4 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.85 / $861.85 / $1,318.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $177.56 / $243.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.82 / $215.67 / $562.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.87 / $158.87 / $158.87
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $205.44 / $315.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.85 / $861.85 / $1,318.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $194.25 / $256.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $155.75 / $225.84