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Nebraska 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 / $181.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $210.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $120.56 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $119.34 / $120.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $137.94 / $154.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.43 / $238.45 / $532.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $177.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.13 / $158.97 / $185.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $154.99 / $195.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $162.41 / $174.23