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Utah rates for HCPCS 90744

Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $56.23 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.11 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $36.31 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $77.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.11 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $34.67 / $35.48