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Missouri 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
$208.93 / $251.19 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $380.19 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $234.42 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $269.15