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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
$163.24 / $163.24 / $236.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $273.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.65 / $143.12 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.96 / $141.69 / $143.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $179.39 / $200.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.55 / $310.16 / $492.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $181.48 / $197.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.36 / $149.90 / $149.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.87 / $145.53 / $215.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $181.48 / $194.68