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Kansas 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 / $149.09 / $154.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $154.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.31 / $174.48 / $270.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.62 / $146.62 / $146.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $137.94 / $137.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.47 / $127.04 / $172.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $157.69 / $175.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $157.69 / $177.18