go back

Michigan 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
$59.14 / $186.43 / $272.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $177.56 / $243.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.16 / $340.42 / $643.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.96 / $147.96 / $155.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.10 / $174.44 / $174.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $186.90 / $266.06
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.06 / $177.56 / $223.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.19 / $204.19 / $204.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $186.90 / $192.55