go back

North Dakota 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
$23.99 / $23.99 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.11 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $32.36