go back

Nebraska rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.51 / $175.88 / $231.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $190.85 / $238.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.02 / $140.02 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.02 / $138.62 / $140.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $166.41 / $172.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.34 / $284.05 / $628.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.90 / $169.29 / $184.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.01 / $101.26 / $152.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.01 / $111.66 / $174.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $169.29 / $181.60