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North Carolina 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
$203.35 / $358.99 / $517.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.54 / $241.74 / $349.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $182.33 / $260.83
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 / $284.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.42 / $228.35 / $312.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.11 / $183.11 / $183.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $272.70 / $284.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.18 / $270.18 / $738.05