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Nebraska 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 / $238.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $249.63 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $186.14 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.83 / $184.28 / $186.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $209.39 / $219.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.12 / $197.12 / $815.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $180.86 / $224.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $180.29 / $207.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $182.70 / $342.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $180.86 / $235.16