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Arizona rates for HCPCS 90734

Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use

Facilitymedian $437 · 10th–90th $129–$9770%5%10%10th90th$437Professionalmedian $178 · 10th–90th $123–$5130%20%10th90th$178$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $186.21 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $616.60 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $213.80