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New Hampshire 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 / $270.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $241.74 / $241.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.49 / $355.70 / $975.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $241.87
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.63 / $392.59 / $746.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $237.13 / $284.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.19 / $246.23 / $388.63