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Idaho 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 / $170.31
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.37 / $140.75 / $201.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $154.83 / $175.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.01 / $211.22 / $309.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.68 / $258.68 / $264.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $173.38 / $173.38