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Oklahoma 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
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $181.97 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $199.53