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Kentucky 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
$125.89 / $125.89 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $144.54 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $134.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $173.78