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Pennsylvania 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
$60.06 / $163.24 / $207.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $179.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.24 / $182.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.64 / $182.64 / $182.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.00 / $310.00 / $1,035.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $163.24 / $275.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $280.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.03 / $135.03 / $173.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.03 / $135.03 / $173.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $230.46