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Idaho rates for HCPCS 90649

Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $163.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $173.03 / $233.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $197.98 / $230.97