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North Dakota 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
$164.41 / $164.42 / $198.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $211.54 / $213.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $169.19 / $212.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.12 / $164.42 / $279.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.57 / $180.86 / $224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $180.86 / $208.76