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Montana 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 / $179.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.90 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $297.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.89 / $179.39 / $179.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $297.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $157.99 / $202.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $186.43 / $197.98