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Arizona 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 / $90.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.47 / $260.25 / $407.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $72.73 / $478.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.44 / $81.52 / $107.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.76 / $82.42 / $82.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $86.51 / $86.65