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North Carolina 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
$97.72 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $131.83 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $177.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03