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Tennessee 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
$66.19 / $169.96 / $280.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.96 / $169.96 / $237.94
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.64 / $507.70 / $707.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $188.43 / $199.95