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Wisconsin rates for HCPCS 90747

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use

Facilitymedian $295 · 10th–90th $148$4900%20%10th90th$295Professionalmedian $162 · 10th–90th $155$3310%20%40%10th90th$162$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $331.13 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $162.18 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $346.74 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $426.58
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $234.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $173.78 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $467.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $354.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $234.42