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Utah rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.10 / $156.97 / $228.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $156.97 / $156.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.21 / $173.91 / $184.68