go back

North Dakota 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
$177.56 / $274.13 / $274.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.10 / $177.56 / $195.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.32 / $168.02 / $170.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.90 / $180.90 / $226.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.95 / $186.90 / $532.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $171.33 / $186.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $171.33 / $186.90