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Washington 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
$54.87 / $75.15 / $156.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $85.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $121.72 / $225.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $86.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $80.88 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.89 / $77.98 / $142.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.05 / $144.07 / $220.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $78.30 / $86.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $112.85 / $150.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $77.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $81.59 / $86.65