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Rhode Island rates for HCPCS 90733

Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $239.88 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $141.25 / $147.91