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Vermont 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
Professional
Modifier
Low / Median / High Price
$177.56 / $195.31 / $257.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.96 / $150.62 / $224.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.28 / $224.28 / $360.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.28 / $224.28 / $360.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $155.75 / $186.90