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Illinois rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $157.51 / $249.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $156.97 / $196.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.60 / $340.74 / $1,422.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.80 / $122.80 / $122.80
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $24.90 / $160.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.64 / $19.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $172.37 / $184.68