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Kansas 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 / $290.08 / $1,744.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $253.00 / $300.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.52 / $227.52 / $227.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.69 / $301.58 / $319.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.39 / $284.39 / $284.39
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.75 / $253.44 / $360.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.25 / $279.81 / $284.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.25 / $279.81 / $284.56