| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
HMSA
| Professional | $26.42 | $26.42 | $29.85 | |
United
| Professional | $27.47 | $29.35 | $44.03 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
HMSA
| Professional | $26.42 | $26.42 | $29.85 | |
United
| Professional | $27.47 | $29.35 | $44.03 |