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Idaho rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.81 / $220.00 / $280.87
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $224.02 / $302.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $228.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.97 / $134.97 / $165.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.50 / $273.50 / $279.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.27 / $248.78 / $248.78