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Arizona rates for HCPCS 90620

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

Facilitymedian $759 · 10th–90th $200–$1,4790%10%10th90th$759Professionalmedian $251 · 10th–90th $204–$6310%20%10th90th$251$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $758.58 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $245.47 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $891.25 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $457.09 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $467.74 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $281.84 / $302.00