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Arkansas 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 / $362.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.75 / $241.74 / $265.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.13 / $237.13 / $237.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $237.13 / $237.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.76 / $265.58 / $265.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $248.99 / $284.39