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Colorado 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.63 / $237.40 / $647.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $175.00 / $323.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.44 / $301.82 / $535.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.95 / $199.95 / $199.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.76 / $186.76 / $186.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.76 / $186.76 / $186.76
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.90 / $169.96 / $243.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.00 / $630.00 / $630.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $199.95 / $200.10