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West 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
$263.03 / $346.74 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $239.88 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,288.25 / $1,288.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $302.00