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Tennessee 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 / $207.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $125.50
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 / $137.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.50 / $532.45 / $532.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $174.23