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Arizona rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.33 / $337.95 / $337.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.29 / $156.97 / $306.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.30 / $533.73 / $839.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.57 / $147.74 / $978.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.78 / $149.50 / $213.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.91 / $184.67 / $184.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $173.91 / $184.68