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New Jersey 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 / $656.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $140.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.19 / $161.82 / $163.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $186.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.34 / $133.34 / $152.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.76 / $140.76 / $140.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $163.26 / $173.08