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Florida 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 / $370.18 / $720.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.33 / $169.96 / $273.11
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $183.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $166.75 / $199.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.73 / $160.50 / $160.50