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North Carolina 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
$181.97 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $186.21 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $194.98 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $407.38 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $269.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31