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Washington, DC 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
$248.48 / $338.60 / $542.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.76 / $186.76 / $186.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.66 / $615.66 / $615.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.08 / $188.43 / $239.94