go back

Arizona 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 / $24.95 / $24.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $29.94 / $45.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $33.17 / $35.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $33.17 / $35.22