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West Virginia 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 / $140.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $154.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $211.13 / $211.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.12 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $320.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $173.08 / $231.17