go back

Tennessee rates for HCPCS 90716

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.47 / $186.53 / $307.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $195.83 / $215.41
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.48 / $438.90 / $783.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $217.10 / $230.39