go back

West 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 / $248.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $240.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.12 / $166.12 / $44,999.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $289.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $248.63 / $264.72