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Maryland 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 / $260.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $156.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $106.49 / $106.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $104.05 / $134.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $171.05