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Kansas 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 / $253.61 / $273.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $273.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.78 / $257.93 / $319.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $248.63 / $248.63
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
$160.19 / $215.49 / $315.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.42 / $244.64 / $248.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $243.66 / $248.78