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Montana rates for HCPCS 90620

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

Facilitymedian $389 · 10th–90th $224–$81,2830%20%40%10th90th$389Professionalmedian $240 · 10th–90th $214–$4170%20%40%10th90th$240$100.0$500.0$2.0K$10.0K$50.0K

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
$223.87 / $223.87 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $239.88 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $281.84