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Iowa 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
$224.00 / $224.00 / $307.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $180.86 / $261.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $209.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $216.15 / $452.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.08 / $201.60 / $356.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $185.79 / $237.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.00 / $197.31 / $237.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.30 / $182.08 / $265.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $185.79 / $235.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42