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Missouri rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.97 / $175.88 / $202.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.40 / $156.97 / $175.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.75 / $261.63 / $405.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $167.51
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.68 / $200.50 / $628.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.90 / $184.67 / $186.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $161.60 / $186.13