go back

Illinois 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
$24.95 / $24.95 / $27.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.26 / $246.56 / $493.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $30.82 / $30.82
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.55 / $104.69 / $136.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $32.29 / $35.22