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Connecticut 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 / $583.30 / $690.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $241.74 / $241.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.46 / $397.19 / $710.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $241.87
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.96 / $255.96 / $255.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.96 / $284.39 / $284.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $237.13 / $261.64