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North Dakota 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 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $239.88 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $302.00