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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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $218.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $109.65 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $169.82