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Hawaii rates for HCPCS 90620

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $354.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $251.19