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Ohio 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 / $236.70 / $631.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $211.34 / $416.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.98 / $485.13 / $1,347.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $211.47 / $356.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.26 / $166.12 / $282.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.05 / $166.12 / $211.34
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 / $335.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $335.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $220.25 / $260.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.33 / $303.33 / $303.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $244.64 / $275.11