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Maine rates for HCPCS 90733

Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $144.54 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $223.87