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Texas rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.50 / $184.68 / $271.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $184.68 / $197.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.67 / $166.21 / $328.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.98 / $84.98 / $84.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $172.37 / $172.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.50 / $351.76 / $628.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.29 / $123.68 / $264.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $42.79 / $42.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $172.37 / $264.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $172.37 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.21 / $181.60 / $181.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.60 / $135.60 / $183.06