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Alaska rates for HCPCS 90743

Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $112.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.19 / $161.19 / $161.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $241.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.39 / $115.39 / $181.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.85 / $173.85 / $173.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.06 / $160.08 / $264.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $81.52 / $173.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $72.20 / $86.51