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Wyoming 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
$141.25 / $169.82 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $213.80