go back

Maine 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
$275.42 / $331.13 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $436.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $331.13 / $338.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $338.84 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $575.44