go back

West Virginia 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 / $192.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $179.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.62 / $93.57 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.04 / $229.04 / $229.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $506.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.77 / $725.77 / $738.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $210.66