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New York 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 / $370.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $182.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.40 / $154.40 / $154.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.40 / $154.40 / $154.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $190.31 / $807.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.85 / $172.85 / $299.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.85 / $172.85 / $172.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $190.31 / $807.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $145.00 / $179.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $249.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.53 / $126.53 / $126.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.53 / $126.53 / $136.78