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Arkansas rates for HCPCS 90733

Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.50 / $129.15 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $138.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.75 / $110.75 / $110.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $110.75 / $110.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $151.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $147.65 / $166.84