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Tennessee rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.89 / $149.50 / $246.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $156.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.50 / $351.76 / $628.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $181.60