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Wisconsin 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
$338.84 / $588.84 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $371.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $501.19 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $371.54 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $223.87 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $562.34