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Utah 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
$31.70 / $56.38 / $75.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $75.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.18 / $107.58 / $107.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $82.57 / $86.65