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Nebraska 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
$162.18 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $100.00 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $309.03 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $173.78 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $194.98