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New Hampshire rates for HCPCS 90691

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $338.84 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $162.18 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $162.18 / $194.98