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Nebraska 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 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $323.59 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $102.33 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $36.31 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $34.67