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Hawaii 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 / $76.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $77.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.66 / $90.17 / $105.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.51 / $90.17 / $108.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $24.22 / $72.25