go back

Idaho rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.54 / $126.54 / $126.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $156.97 / $172.67
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $156.97 / $224.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.72 / $65.72 / $65.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $147.11 / $150.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $184.68 / $215.46