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Montana 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
Professional
Modifier
Low / Median / High Price
$183.17 / $211.34 / $280.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.31 / $232.20 / $232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.27 / $234.27 / $248.78