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Kansas 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
$25.12 / $28.84 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.20 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $35.48