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Indiana 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
$0.02 / $0.02 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $142.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $142.00 / $201.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.44 / $208.58 / $281.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.44 / $181.44 / $226.80
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 / $408.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $158.96 / $190.75