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Hawaii 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
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $338.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $218.78