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Massachusetts 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 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $218.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $257.04 / $338.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.79 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $223.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $257.04 / $338.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $147.91 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $223.87