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Louisiana 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 / $75.15 / $95.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $90.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.30 / $78.30 / $117.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $78.30 / $79.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $81.59 / $86.65