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Minnesota rates for HCPCS 90733

Mpsv4 Vaccine Groups Acyw-135 Subq Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.50 / $125.50 / $125.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $138.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.36 / $153.26 / $235.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.19 / $106.49 / $106.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.05 / $394.16 / $479.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.99 / $148.83 / $157.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.57 / $359.70 / $451.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $123.75 / $173.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.16 / $123.15 / $212.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $193.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $196.08