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Utah 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
$137.94 / $137.94 / $137.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $166.84 / $177.18