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Hepatitis B Vaccine, Dialysis Strength, 3 Doses

Virginia rates for HCPCS 90740 · Engerix-B, Recombivax HB

The hepatitis B vaccine in the higher-strength preparation made for people on dialysis or with weakened immune defenses, injected into a muscle. A stronger dose is used because these patients mount a weaker antibody response to the ordinary preparation. This is the version given as a course of three injections spaced out over several months.

Rates data updated July 2026.

How much does Hepatitis B Vaccine, Dialysis Strength, 3 Doses cost?

$174

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $245 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$166 to $200
FacilityA hospital or hospital-owned outpatient department$245$166 to $407

How much rates vary

Facilitymedian $245 · 10th to 90th $166 to $501Professionalmedian $166 · 10th to 90th $166 to $234
$200$500facility $245professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$239.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$331.13
Sentara
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$234.42

Where Virginia sits

The same service costs 1.9 times more in Delaware than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 29th of 51

$174

DE $324TN $166

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.