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Virginia 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

Facilitymedian $229 · 10th–90th $98–$6760%10%10th90th$229Professionalmedian $170 · 10th–90th $112–$2190%20%10th90th$170$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $229.09 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $199.53 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $257.04 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $199.53 / $257.04
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $199.53 / $302.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $199.53 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $199.53 / $213.80