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New Hampshire 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
$157.63 / $343.93 / $343.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $140.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.76 / $253.35 / $638.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $147.37 / $147.37
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.52 / $267.02 / $507.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $144.47 / $173.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $147.10 / $222.16