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Nebraska 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
$74.13 / $74.13 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $83.18 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $144.54 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $74.13 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $87.10