go back

Utah rates for HCPCS 90740

Hepb Vaccine Dialysis/Immunsup Pat 3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $164.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.98 / $226.11 / $255.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.19 / $185.79 / $197.30