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New Hampshire 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 / $158.19
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 / $0.04
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
$141.77 / $219.43 / $417.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $158.96 / $182.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.15 / $162.13 / $238.35