go back

Montana rates for HCPCS 90747

Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.00 / $262.00 / $262.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $154.82 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.66 / $160.66 / $415.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.66 / $161.82 / $161.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.66 / $160.66 / $415.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $152.69 / $199.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $163.26 / $173.38