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North Dakota 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
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 / $163.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $162.11 / $200.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.69 / $163.24 / $489.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $181.48 / $192.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $181.48 / $186.43