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Rhode Island rates for HCPCS 90733

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

Facilitymedian $240 · 10th–90th $219–$4680%20%10th90th$240Professionalmedian $126 · 10th–90th $126–$1260%50%$126$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

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