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Massachusetts 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
$129.28 / $199.18 / $497.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.59 / $169.96 / $195.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.37 / $401.57 / $531.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.37 / $188.43 / $205.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.55 / $255.14 / $543.86
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.40 / $366.40 / $431.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $169.96 / $352.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.44 / $1,081.94 / $1,246.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.64 / $333.64 / $507.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $199.95 / $250.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $199.95 / $233.46