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Alaska rates for HCPCS 90747

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $211.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.92 / $301.92 / $301.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $453.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.07 / $233.07 / $366.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.07 / $301.92 / $549.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $152.69 / $161.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $146.96 / $173.08