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Georgia rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.65 / $131.40 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.62 / $156.97 / $184.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $179.37 / $192.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.60 / $149.50 / $149.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.83 / $169.68 / $332.57
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $58.80 / $67.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $192.38