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Virginia 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 / $517.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $285.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $211.47 / $211.47
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $248.63 / $248.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.63 / $248.63 / $321.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.18 / $236.20 / $305.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $236.20 / $305.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.24 / $410.24 / $410.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $248.63 / $261.06