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Maine rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.97 / $156.97 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $172.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.84 / $475.84 / $475.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $149.50 / $153.90
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.73 / $103.82 / $159.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $226.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $223.16