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North Carolina 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 / $154.83 / $235.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $145.69 / $288.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.89 / $351.18 / $370.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $130.25 / $140.75
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 / $173.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.06 / $167.49 / $190.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $170.49 / $223.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.39 / $323.39 / $389.68