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North Dakota rates for HCPCS 90691

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $165.96 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $147.91 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $194.98