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New Jersey rates for HCPCS 90691

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $128.82 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $199.53 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $181.97 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $173.78 / $194.98