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Arkansas rates for HCPCS 90650

Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $211.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $155.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.75 / $128.75 / $128.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.75 / $128.75 / $128.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.50 / $148.50 / $148.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $148.50 / $148.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.01 / $158.96 / $179.62