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Alabama rates for HCPCS 90621

Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $211.34 / $211.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $232.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.09 / $177.29 / $238.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $207.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.43 / $232.20 / $232.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.63 / $248.63 / $303.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $234.27 / $248.63