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Nebraska 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 / $140.75 / $204.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $140.75 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.44 / $159.35 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $157.75 / $159.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $161.82 / $179.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.47 / $140.75 / $624.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $158.93 / $173.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $168.90 / $199.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $168.90 / $342.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $158.93 / $173.08