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Virginia rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.97 / $182.58 / $456.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.23 / $156.97 / $196.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $149.50 / $149.50
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $67.48 / $149.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $162.77 / $184.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $91.00 / $91.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.94 / $175.45 / $226.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.94 / $175.45 / $226.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $149.63 / $184.68