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Vermont 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
Professional
Modifier
Low / Median / High Price
$169.82 / $446.68 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $169.82 / $213.80