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Idaho rates for HCPCS 90733

Mpsv4 Vaccine Groups Acyw-135 Subq Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $125.50
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $125.50 / $179.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.02 / $99.02 / $99.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $117.14 / $143.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $166.84 / $177.18