go back

Missouri 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 / $298.62 / $371.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $241.74 / $285.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.47 / $403.12 / $624.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.35 / $268.35 / $268.35
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
$241.74 / $284.39 / $1,006.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $284.39 / $286.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $279.81 / $286.93