go back

Alaska rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.38 / $218.38 / $287.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $156.97 / $235.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.72 / $336.72 / $336.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $64.51 / $92.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.23 / $246.23 / $386.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.51 / $335.02 / $552.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $92.15 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $156.55