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Louisiana rates for HCPCS 90759

Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $73.81 / $73.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $73.81 / $81.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.20 / $81.20 / $121.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $81.20 / $82.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.52 / $72.52 / $72.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $72.52 / $72.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.44 / $77.70 / $92.28