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Arkansas rates for HCPCS 90747

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $155.25 / $211.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $197.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.69 / $152.69 / $152.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.06 / $152.69 / $152.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.57 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $144.47 / $173.08