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Tennessee 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 / $232.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $170.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.48 / $166.48 / $166.48
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.39 / $389.68 / $624.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $144.47 / $173.08