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California 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
$216.29 / $338.43 / $1,066.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.20 / $271.43 / $730.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.87 / $291.51 / $341.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $284.39 / $605.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $99.00 / $293.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.18 / $270.18 / $667.88
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $304.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.18 / $738.05 / $1,006.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.58 / $265.58 / $345.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.38 / $307.29 / $401.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.83 / $284.39 / $488.72