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Alabama rates for HCPCS 90620

Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $241.74 / $241.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $241.74 / $265.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.09 / $177.29 / $238.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $237.13 / $237.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.75 / $265.58 / $265.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $267.95 / $284.39