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Virginia 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
$59.60 / $241.74 / $716.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $241.74 / $378.12
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.39 / $284.39 / $284.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.39 / $284.39 / $368.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.13 / $270.18 / $349.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.13 / $270.18 / $349.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $284.39 / $284.56