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Maine 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.70 / $91.27 / $238.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $70.19 / $75.15
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $95.08 / $145.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $90.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $72.20 / $108.32