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New York 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
$165.96 / $165.96 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $199.53
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $218.78 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $1,047.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $245.47 / $562.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $245.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $204.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $251.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $204.17 / $213.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $245.47