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Washington rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.31 / $150.21 / $216.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.29 / $156.97 / $291.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $150.76 / $628.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $120.36 / $184.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $328.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.49 / $111.45 / $278.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.84 / $92.49 / $93.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.88 / $175.88 / $175.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.46 / $167.09 / $184.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $184.68