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West Virginia rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.50 / $156.97 / $175.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $156.97 / $172.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.31 / $40.31 / $60.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.50 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $212.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $149.63 / $153.90