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Indiana rates for HCPCS 90691

Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use

Facilitymedian $240 · 10th–90th $166–$3550%20%10th90th$240Professionalmedian $162 · 10th–90th $100–$1860%20%40%10th90th$162$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $239.88 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $257.04
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $43.65 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $177.83 / $213.80