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Arizona 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
$119.28 / $763.84 / $772.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.42 / $265.00 / $728.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.69 / $845.69 / $1,339.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.41 / $227.52 / $1,507.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $273.72 / $345.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $284.39 / $284.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $284.39 / $284.56