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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
$24.95 / $24.95 / $36.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $41.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.69 / $342.44 / $696.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $20.21 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $27.68 / $30.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.41 / $102.96 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $32.29 / $35.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $39.02 / $42.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $39.89 / $52.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $32.29 / $34.63