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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
$241.74 / $241.74 / $429.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $247.50 / $430.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.69 / $272.70 / $500.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.39 / $241.74 / $241.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.38 / $713.08 / $868.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.11 / $269.25 / $284.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.42 / $650.73 / $816.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.88 / $223.88 / $313.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.05 / $256.68 / $456.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.54 / $260.83 / $310.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.54 / $260.83 / $314.91