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Indiana rates for HCPCS 90743

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $77.03 / $180.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $75.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.14 / $150.28 / $199.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.66 / $73.68 / $104.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $75.15 / $112.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $93.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $80.88 / $211.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $81.59 / $86.65