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Montana rates for HCPCS 90734

Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.50 / $211.50 / $956.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.33 / $175.00 / $273.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.82 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.58 / $401.19 / $401.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.76 / $186.76 / $401.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.58 / $401.19 / $401.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.76 / $255.16 / $471.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.43 / $188.43 / $200.10