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Ohio 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 / $84.17 / $224.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $127.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.15 / $131.22 / $223.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $73.68 / $125.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $75.15 / $127.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $101.45
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 / $117.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $117.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $81.59 / $94.60