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Minnesota rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $163.24 / $163.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $179.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.13 / $235.17 / $361.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $163.41 / $163.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $511.22 / $622.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $193.03 / $203.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.24 / $466.52 / $585.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $160.50 / $224.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.24 / $192.05 / $275.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $181.48 / $215.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $181.48 / $244.70