go back

Pennsylvania 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 / $434.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $368.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.12 / $173.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.56 / $267.56 / $267.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $164.42 / $434.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $235.16
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.33 / $146.33 / $169.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.33 / $146.33 / $169.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $235.16 / $300.89