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Arizona 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 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.62 / $487.43 / $764.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $136.25 / $895.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $163.02 / $211.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $173.08 / $173.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $173.08 / $173.38