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Missouri 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
$140.75 / $173.08 / $997.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $173.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $239.28 / $505.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $166.48 / $166.48
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
$108.50 / $164.43 / $624.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $173.08 / $174.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $170.49 / $173.38