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Connecticut 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 / $358.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $125.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $170.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.88 / $132.88 / $132.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.51 / $127.31 / $133.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $147.65 / $162.41