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North Dakota 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 / $125.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $124.99 / $154.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.70 / $125.50 / $376.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $162.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $166.84