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Utah rates for HCPCS 90747

Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $140.75 / $140.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $140.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.06 / $201.36 / $253.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $163.26 / $173.38