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Arizona rates for HCPCS 90733

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $147.91 / $177.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $177.83