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Texas rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.73 / $248.63 / $403.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $248.63 / $275.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $413.16 / $816.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.56 / $242.56 / $242.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.88 / $147.88 / $147.88
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.63 / $248.63 / $355.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.26 / $232.20 / $355.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.24 / $410.24 / $410.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $244.64 / $248.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.07 / $194.07 / $261.99