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Montana 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
$311.39 / $374.36 / $414.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $337.04 / $560.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.38 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $368.58 / $369.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.87 / $371.87 / $394.91