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South Carolina 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
$143.15 / $311.66 / $326.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.08 / $177.56 / $223.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.00 / $284.00 / $284.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $94.83 / $167.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $186.90 / $224.28
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 / $174.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $195.32 / $427.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $179.11 / $186.90