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Minnesota 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 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $158.49 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $416.87 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $158.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $467.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $123.03 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $229.09