Price of Meningococcal Vaccine A, C, Y, W-135 IM Kit at NYU Langone

Last Updated: 2024-07-01

NYU Langone

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About Meningococcal Vaccine A, C, Y, W-135 IM Kit

Service Codes: LOCAL 5010003, CPT 90734

This procedure involves administering a meningococcal vaccine to protect against infections caused by the bacteria Neisseria meningitidis. The vaccine is given as an intramuscular injection and helps prevent serious diseases such as meningitis and septicemia.

Pricing Overview

Cash Price ?

$235.89

Median Price ?

$168.29

Price Range ?

$80.64 - $1,117.38

Insurance Plan Prices

Insurance Provider Plan Type Price
UnitedHealthcare Golden Rule Insurance $620.77
MetroPlus Gold $266.76
Fidelis Care Essential Plan 4 $154.57
Blue Cross Blue Shield EPO $155.87
Blue Cross Blue Shield Blue Access gEPO (Large Group) $155.87
Anthem BCBS HealthPlus SOMOS Essential Plan 2 $168.29
Fidelis Care Silver (Exchange) $224.38
EmblemHealth HIP PPO $187.78
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $141.86
Anthem BCBS HealthPlus SOMOS Essential Plan 1 & 200-250 $168.29
Blue Cross Blue Shield Blue Access EPO (Small Group) $155.87
Blue Cross Blue Shield Pathway X Enhanced $149.59
UnitedHealthcare POMCO (UMR) $620.77
Horizon BCBS Direct $155.87
MetroPlus GoldCare 2 $266.76
MetroPlus Essential Plan 1 $124.66
EmblemHealth HIP compre health epo $187.78
Blue Cross Blue Shield Pathway $149.59
UnitedHealthcare Choice (North Shore - LIJ) $620.77
Anthem BCBS HealthPlus Medicaid $126.33
Blue Cross Blue Shield Federal Program $155.87
EmblemHealth HIP Access II $187.78
EmblemHealth Healthcare Partners Essential Plan 3-4 $124.66
EmblemHealth Enhanced Care (Medicaid) $124.66
1199SEIU Funds Home Care Benefit Fund $910.14
EmblemHealth Bridge $187.78
EmblemHealth HIP POS $187.78
Cigna NALC PPO $586.17
EmblemHealth HIP SmartStart $187.78
EmblemHealth Essential Plan 3 $124.66
Fidelis Care Essential Plan 1 $268.01
Partners Health Plan Medicaid MLTC $80.64
EmblemHealth Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) $130.89
Cigna Open Access $586.17
EmblemHealth Vytra HMO $187.78
Cigna Open Access PPO $586.17
UnitedHealthcare Core $620.77
MultiPlan Screen Actors Guild $968.39
Blue Cross Blue Shield Hotel Trades Council $155.87
MultiPlan Meritain Health $968.39
EmblemHealth GHI PPO $141.86
BCBS (Out of State) POS (No Suitcase Logo) $155.87
Anthem BCBS Empire Plan, Value Options $155.87
UnitedHealthcare EPO $620.77
MultiPlan Principal Financial Group $968.39
Anthem BCBS All Plans $155.87
EmblemHealth Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) $168.29
MetroPlus Essential Plan 2 $124.66
UnitedHealthcare POMCO (UMR) $968.39
Fidelis Care Gold for Children (Exchange) $224.38
Cigna Wellfleet Student $586.17
EmblemHealth GHI HMO $141.86
Anthem BCBS HealthPlus SOMOS Essential Plan 3 $130.89
EmblemHealth HIP Long Island College Hospital (LICH) $187.78
UnitedHealthcare Charter $620.77
Anthem BCBS HealthPlus Family Health Plus (Deprecated) $126.33
VNS Health MLTC (Medicaid) $80.64
BCBS (Out of State) POS (Suitcase Logo) $155.87
BCBS (Out of State) HMO (No Suitcase Logo) $155.87
EmblemHealth American Plan Administrators c/o H.D.A $141.86
Cigna Open Access HMO $586.17
Cigna Great West PPO $586.17
UnitedHealthcare HMO $620.77
1199SEIU Funds Member Choice Home Care Select $910.14
EmblemHealth HIP Healthcare Partners HMO $187.78
MultiPlan Kaiser Permanente $968.39
EmblemHealth IUOE Local 14-14B $141.86
EmblemHealth American Plan Administrators $141.86
Fidelis Care Essential Plan 2 $268.01
Fidelis Care Child Health Plus (CHP) $154.57
EmblemHealth Essential Plan 1, 200-250 $149.59
MultiPlan Diversified Admin Corp $968.39
MultiPlan US Life Insurance Co $968.39
First Health Commercial HMO $1,042.89
BCBS (Out of State) Indemnity $155.87
EmblemHealth CMO Essential Plan 3 $124.66
EmblemHealth CMO Essential Plan 1 $149.59
Fidelis Care Essential Plan 3 $154.57
Blue Cross Blue Shield Indemnity $155.87
MultiPlan Healthnet of California $968.39
MetroPlus Medicaid Managed Care $124.66
MultiPlan PHCS $968.39
BCBS (Out of State) PPO (Suitcase Logo) $155.87
Anthem BCBS HealthPlus All Exchange Plans $149.59
MultiPlan Teamsters Allied Benefits $968.39
MultiPlan Humana Health Plan $968.39
Fidelis Care Native American (Exchange) $224.38
EmblemHealth HIP Optum Health $187.78
MultiPlan QualCare Inc $968.39
EmblemHealth HIP Montefiore $187.78
Fidelis Care Bronze for Children (Exchange) $224.38
Blue Cross Blue Shield UniCare $155.87
EmblemHealth HIP $187.78
EmblemHealth CMO Essential Plan 4 $124.66
Fidelis Care Platinum (Exchange) $224.38
Anthem BCBS HealthPlus Essential Plan 4 $126.33
Blue Cross Blue Shield PPO/EPO (Small Group) $155.87
BCBS (Out of State) POS $155.87
Fidelis Care Silver 250 (Exchange) $224.38
MetroPlus Essential Plan 4 $124.66
MultiPlan Paramount Insurance $968.39
Carelon Behavioral Health Medicaid Managed Care (Home-based Only) $80.64
Anthem BCBS HealthPlus SOMOS Child Health Plus (CHP) $130.89
Blue Cross Blue Shield Local 32 BJ $155.87
Cigna Premier Plus $586.17
Blue Cross Blue Shield Child Health Plus (CHP) $126.33
MetroPlus Child Health Plus (CHP) $124.66
Anthem BCBS Optum $155.87
MultiPlan Guardian Life Insurance Co $968.39
Blue Cross Blue Shield POS $155.87
Cigna Indemnity $586.17
Fidelis Care Gold (Exchange) $224.38
EmblemHealth Enhanced Care (Medicaid) Montefiore $124.66
MetroPlus Essential Plan 3-4 $124.66
Anthem BCBS HealthPlus Special Needs Plan (SNP) $126.33
VNS Health SelectHealth (Medicaid) $80.64
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $124.66
First Health PPO $968.39
Blue Cross Blue Shield Global Transplants $155.87
Humana All Commercial Plans $968.39
EmblemHealth Essential Plan 4 $124.66
Cigna LifeSOURCE $586.17
EmblemHealth Healthcare Partners Essential Plan 1-2 $149.59
MultiPlan Global Excel Management $968.39
EmblemHealth HIP compre health $187.78
Blue Cross Blue Shield Blue Access EPO (Large Group) $155.87
UnitedHealthcare Choice $620.77
Anthem BCBS HealthPlus Essential Plan 3 $126.33
Blue Cross Blue Shield Blue Priority HMO $155.87
Blue Cross Blue Shield Open Access PPO (Home-based Only) $155.87
Fidelis Care Bronze (Exchange) $224.38
EmblemHealth Enhanced Care (Medicaid) Child Health Plus (SOMOS) $130.89
Anthem BCBS HealthPlus Essential Plan 1, 200-250 $249.31
Cigna Cigna Managed Care/POS $586.17
EmblemHealth HIP Access I $187.78
EmblemHealth Healthcare Partners Essential Plan 3 $124.66
MultiPlan Mutual of Omaha $968.39
Blue Cross Blue Shield Blue Priority PPO $155.87
Blue Cross Blue Shield Blue Access EPO (Large Group) (NY LI Local 1199SEIU) $155.87
UnitedHealthcare - Oxford Optum Health $620.77
Anthem BCBS HealthPlus SOMOS Special Needs HARP $130.89
1199SEIU Funds PPO $910.14
EmblemHealth WLNY-TV $141.86
Cigna MVP-Cigna Network $586.17
Anthem BCBS HealthPlus SOMOS ny medicaid $130.89
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $149.59
UnitedHealthcare - Oxford Liberty $620.77
MultiPlan PHCS Director Guild $968.39
AgeWell (Deprecated) Medicaid Managed Care $80.64
Anthem BCBS HealthPlus SOMOS Essential Plan 4 $130.89
BCBS (Out of State) HMO $155.87
Anthem BCBS HealthPlus Essential Plan 2 $249.31
BCBS (Out of State) EPO (Suitcase Logo) $155.87
Cigna PPO $586.17
MultiPlan Fiserv Health $968.39
Partners Health Plan Medicaid $80.64
Healthfirst Personal Wellness Plan (HARP) $80.64
BCBS (Out of State) HMO (Suitcase Logo) $155.87
Cigna Tufts Health Plan $586.17
UnitedHealthcare - Oxford Freedom $620.77
EmblemHealth Enhanced Care (Medicaid) (SOMOS) $130.89
Blue Cross Blue Shield HMO $155.87
MultiPlan Nippon Life $968.39
UnitedHealthcare POS $620.77
Better Health Plan All Plans $1,042.89
EmblemHealth HIP EPO $187.78
Blue Cross Blue Shield Blue Connection $155.87
Health Net PPO $968.39
MultiPlan PHCS Savility $968.39
EmblemHealth CMO Essential Plan 2 $149.59
MultiPlan Global Health Management $968.39
UnitedHealthcare Independent $620.77
EmblemHealth HIP HMO $187.78
Cigna Evernorth Behavioral Health $586.17
Aetna Indemnity $12.42
BCBS (Out of State) PPO $155.87
Blue Cross Blue Shield Blue Priority EPO (Small Group) $155.87
EmblemHealth HIP Child Health Plus $124.66
Fidelis Care Silver for Children (Exchange) $224.38
EmblemHealth Healthcare Partners Essential Plan 4 $124.66
UnitedHealthcare PPO $620.77
EmblemHealth GHI EPO $141.86
EmblemHealth GHI Behavioral Management Program $141.86
Blue Cross Blue Shield Healthy New York $155.87
EmblemHealth Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) $130.89
Blue Cross Blue Shield Blue Access PPO (Large Group) $155.87
Blue Cross Blue Shield Open Access HMO (Home-based Only) $155.87
EmblemHealth Essential Plan 2 $149.59
UnitedHealthcare - Oxford Metro $620.77
MultiPlan PHP Healthcare (Champus) $968.39
MetroPlus Essential Plan 3 $124.66
Blue Cross Blue Shield PPO $155.87
EmblemHealth Healthcare Partners Essential Plans $149.59
Fidelis Care Catastrophic (Exchange) $224.38
UnitedHealthcare Optum Health $620.77
MetroPlus Essential Plan 1-2, 200-250 $124.66
BCBS (Out of State) PPO (No Suitcase Logo) $155.87
Fidelis Care Platinum for Children (Exchange) $224.38
UnitedHealthcare Student Resources $620.77
MultiPlan Administrative Concepts $968.39
EmblemHealth Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) $168.29
Cigna HMO $586.17
Blue Cross Blue Shield Pathway Enhanced $149.59
Blue Cross Blue Shield Blue Access HMO (Small Group) $155.87
EmblemHealth Healthcare Partners Essential Plan 2 $149.59
UnitedHealthcare Choice (NY Power Authority) $620.77
Fidelis Care Medicaid Managed Care $154.57
Maksin Group Consolidated Health Plan (Home-based only) $586.17
Cigna Great West HMO $586.17
UnitedHealthcare Navigate $620.77
BCBS (Out of State) EPO (No Suitcase Logo) $155.87
Blue Cross Blue Shield Blue Access gEPO (Small Group) $155.87
BCBS (Out of State) EPO $155.87
EmblemHealth GHI composite $141.86
MultiPlan AXA Global Insurance $968.39
Three Rivers All Plans (Home-based Only) $1,117.38
MultiPlan PPO $968.39
Anthem BCBS HealthPlus Child Health Plus (CHP) $126.33
MultiPlan Capital District Physicians Health Plan $968.39
EmblemHealth Enhanced Care (Medicaid) SNP HARP (SOMOS) $130.89
EmblemHealth BCBS GHI Composite $155.87
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