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California 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
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $30.90 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $112.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $28.18 / $35.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $104.71 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $35.48 / $36.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $28.18 / $35.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.11 / $60.26