go back

Louisiana rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.50 / $156.97 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $172.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.50 / $115.50 / $173.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $115.50 / $117.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.51 / $153.90 / $184.68