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Indiana 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
$0.02 / $0.02 / $24.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $27.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.00 / $38.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.32 / $22.31 / $22.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $22.31 / $22.31
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 / $76.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $29.35 / $35.22