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West 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 / $75.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $82.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $112.73 / $112.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $290.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $86.51 / $92.20