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Missouri 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 / $224.00 / $1,103.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $164.42 / $222.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $279.51 / $590.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.53 / $224.00 / $224.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $212.80 / $815.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $197.30 / $224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $194.02 / $235.16