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Maine 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
$162.18 / $162.18 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $190.55 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $165.96 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $251.19