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Arkansas rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $211.34 / $438.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $211.34 / $232.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.32 / $207.32 / $207.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $207.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.39 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.88 / $217.69 / $248.63