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Wisconsin rates for HCPCS 90743

Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use

Facilitymedian $112 · 10th–90th $76–$2240%20%40%10th90th$112Professionalmedian $76 · 10th–90th $74–$1510%50%10th90th$76$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $194.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $75.86 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $74.13 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $83.18 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $79.43 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $120.23 / $245.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $85.11 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $102.33 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $81.28 / $117.49