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Hawaii 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 / $154.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.64 / $211.64 / $211.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $168.90 / $197.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.90 / $173.08 / $216.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $119.64 / $140.75