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Alaska rates for HCPCS 90644

Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $37.42 / $37.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.51 / $53.51 / $53.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.51 / $53.51 / $53.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $27.68 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $29.35 / $29.85