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Louisiana 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 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.06 / $143.06 / $214.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.06 / $143.06 / $145.91
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
$143.06 / $158.96 / $190.75