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Colorado 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 / $125.50 / $125.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $138.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $147.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.38 / $137.84 / $179.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $226.00 / $226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $177.18