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Virginia 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 / $184.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $78.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.14 / $158.55 / $255.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $70.19 / $70.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.79 / $116.97 / $176.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $80.88 / $80.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $86.51 / $90.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.44 / $75.15 / $114.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $40.00 / $40.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.38 / $79.01 / $106.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $79.01 / $106.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $86.51 / $90.84