| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $26.92 | |
Aetna
| Professional | $23.99 | $23.99 | $30.90 | |
BCBS
| Facility | $66.07 | $66.07 | $72.44 | |
United
| Professional | $29.51 | $29.51 | $34.67 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $26.92 | |
Aetna
| Professional | $23.99 | $23.99 | $30.90 | |
BCBS
| Facility | $66.07 | $66.07 | $72.44 | |
United
| Professional | $29.51 | $29.51 | $34.67 |