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West Virginia 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 / $147.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $138.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $73.98 / $110.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.82 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $400.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $188.53