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North Carolina 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
$102.48 / $230.23 / $371.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $169.96 / $253.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.79 / $133.79 / $222.42
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 / $199.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.33 / $160.41 / $219.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.19 / $123.19 / $123.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $191.76 / $200.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.64 / $392.54 / $507.70