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Kentucky 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 / $211.34 / $211.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $266.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.40 / $249.38 / $249.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.74 / $211.47 / $211.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.26 / $180.96 / $322.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.54 / $155.12 / $341.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.47 / $232.20 / $289.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $244.64 / $248.63