go back

Wyoming rates for HCPCS 90691

Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $194.98