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New York 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 / $24.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $34.61 / $34.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $34.61 / $34.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $29.37 / $124.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306,496.94 / $306,496.94 / $306,496.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $80.65 / $95.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $29.37 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $27.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $29.35 / $52.91