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Missouri rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $248.63 / $261.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.40 / $211.34 / $232.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.98 / $352.44 / $545.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.16 / $228.16 / $228.16
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 / $855.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $248.63 / $250.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.92 / $332.92 / $445.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $243.66 / $250.73