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Idaho rates for HCPCS 90734

Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.25 / $202.25 / $434.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.33 / $177.62 / $323.26
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $180.16 / $243.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $166.75 / $183.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.94 / $219.94 / $224.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.43 / $200.10 / $200.10