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Connecticut 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
$169.96 / $255.09 / $474.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.75 / $264.43 / $515.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $170.09
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.96 / $179.96 / $179.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.96 / $199.95 / $199.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $166.75 / $183.95