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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
$125.50 / $125.50 / $138.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $138.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.11 / $313.11 / $313.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $129.33 / $129.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $147.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.39 / $125.50 / $133.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $123.94 / $123.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.42 / $137.16 / $137.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $177.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.50 / $172.65 / $532.45