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Georgia 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 / $387.76 / $5,461.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.10 / $241.74 / $360.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.92 / $276.38 / $296.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $241.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.75 / $248.85 / $485.27
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
$174.04 / $333.00 / $333.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $284.39 / $296.41