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Maine rates for HCPCS 90716

Varicella virus vaccine (VAR), live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $195.83 / $195.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.83 / $195.83 / $215.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.02 / $594.02 / $594.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.66 / $186.66 / $186.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.83 / $226.58 / $347.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.83 / $195.83 / $225.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $192.12 / $278.57