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Minnesota 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
$162.18 / $363.08 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $478.63 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $213.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $457.09 / $537.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $141.25 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $158.49 / $223.87