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Nebraska 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
$60.44 / $177.56 / $705.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.80 / $177.56 / $221.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.76 / $190.96 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.96 / $199.00 / $201.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $180.90 / $226.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.40 / $114.06 / $664.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $171.33 / $186.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.32 / $213.07 / $215.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.32 / $213.07 / $334.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.96 / $171.33 / $186.90