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Arkansas rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.04 / $156.97 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $172.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.45 / $111.45 / $111.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.45 / $111.45 / $111.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.48 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.21 / $153.90 / $173.91