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Wyoming 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
$363.54 / $363.54 / $363.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.12 / $173.08 / $173.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.93 / $163.26 / $173.38