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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
$73.81 / $73.81 / $138.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $90.40 / $232.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.03 / $83.57 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $82.73 / $83.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $140.00 / $175.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $165.36 / $291.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $81.20 / $88.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.58 / $88.58 / $113.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.98 / $88.58 / $110.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $81.20 / $87.11