go back

Oregon 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
$202.25 / $209.05 / $321.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $180.00 / $294.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.52 / $373.52 / $373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.76 / $186.76 / $186.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.37 / $557.53 / $668.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.75 / $219.95 / $365.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $166.75 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.37 / $477.56 / $511.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.75 / $243.04 / $465.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.24 / $186.76 / $637.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.50 / $494.50 / $494.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.95 / $179.95 / $179.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.75 / $199.95 / $200.10