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Missouri 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
$97.39 / $182.07 / $316.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $177.56 / $214.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.55 / $301.85 / $637.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.16 / $177.16 / $180.58
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.65 / $182.59 / $664.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.94 / $183.79 / $186.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $183.79 / $188.36