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Arizona rates for HCPCS 90740

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.84 / $328.84 / $601.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $180.86 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.25 / $569.41 / $892.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.42 / $159.16 / $1,045.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $211.66 / $261.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.79 / $197.30 / $224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.79 / $197.30 / $235.16