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Washington 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 / $155.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.19 / $230.49 / $230.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $158.96 / $234.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.50 / $148.50 / $594.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $148.50 / $148.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $136.00 / $154.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $179.62 / $190.75