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Arizona rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $209.67 / $360.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.17 / $228.96 / $396.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.68 / $739.34 / $1,171.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $198.90 / $1,317.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $236.20 / $302.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.27 / $248.63 / $248.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.24 / $410.24 / $410.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.27 / $248.63 / $248.78