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Louisiana 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
$164.42 / $164.42 / $164.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $198.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.86 / $180.86 / $271.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.86 / $180.86 / $184.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $185.79 / $235.16