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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
$177.83 / $177.83 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $177.83 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $199.53