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Idaho rates for HCPCS 90620

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

Facilitymedian $288 · 10th–90th $209–$3160%20%40%10th90th$288Professionalmedian $251 · 10th–90th $224–$4270%20%10th90th$251$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $251.19 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $281.84 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $251.19 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $251.19 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $281.84 / $302.00