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Minnesota 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
$194.98 / $239.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $478.63 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $758.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $281.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $707.95 / $831.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $257.04 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $354.81