go back

Nebraska 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 / $204.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $237.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.08 / $182.63 / $371.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $143.63 / $145.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.75 / $148.50 / $165.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.49 / $230.49 / $268.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $174.86 / $190.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $174.86 / $187.57