go back

Tennessee 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 / $211.34 / $348.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $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 / $232.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.20 / $613.50 / $855.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.63 / $410.24 / $534.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $248.63