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Louisiana rates for HCPCS 90651

Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.48 / $360.62 / $603.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.55 / $335.55 / $967.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.84 / $183.92 / $350.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.53 / $350.53 / $357.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.15 / $198.15 / $198.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.81 / $371.87 / $394.91