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Montana rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $156.97 / $185.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.64 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.61 / $73.61 / $215.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.61 / $172.37 / $172.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.61 / $73.61 / $215.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.16 / $73.61 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.91 / $173.91 / $184.68