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Ohio 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
$142.61 / $345.70 / $598.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.60 / $184.73 / $445.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $177.56 / $177.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.75 / $310.08 / $529.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.87 / $158.87 / $284.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $177.56 / $266.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $177.56 / $239.71
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 / $260.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.99 / $227.09 / $322.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $260.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.31 / $221.95 / $257.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.96 / $179.11 / $204.03