go back

Maine rates for HCPCS 90650

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $155.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $142.00 / $142.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $156.33 / $239.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $155.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $158.96 / $238.44