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Washington 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
$162.18 / $331.13 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $162.18 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $263.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $281.84 / $436.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $208.93 / $398.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $162.18 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $213.80