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Washington 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
$169.82 / $354.81 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $177.83 / $269.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $186.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $251.19 / $478.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $229.09