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Indiana rates for HCPCS 90625

Cholera Vaccine Adult 1 Dose Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.50 / $297.33 / $660.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.33 / $297.33 / $297.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.08 / $583.00 / $874.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $300.00 / $405.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.67 / $559.67 / $559.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.48 / $326.48 / $326.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $326.48 / $847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $339.28 / $360.30