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Montana rates for HCPCS 90740

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $180.86 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.20 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $187.70 / $415.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.70 / $219.62 / $219.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $187.70 / $415.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.39 / $178.39 / $232.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.79 / $185.79 / $197.30