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New Hampshire 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 / $184.15 / $343.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.97 / $295.95 / $745.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.53 / $190.53 / $190.53
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.39 / $362.80 / $689.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $235.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $194.63 / $298.54