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Texas 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
$224.00 / $241.56 / $1,513.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $235.16 / $248.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.04 / $418.35 / $834.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.54 / $218.54 / $218.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $219.62 / $219.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.80 / $448.00 / $815.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.42 / $166.00 / $336.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.28 / $155.28 / $164.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.01 / $219.62 / $336.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $219.62 / $219.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.19 / $194.02 / $235.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $185.00 / $221.97