go back

Utah rates for HCPCS 90716

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.43 / $222.91 / $324.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.68 / $195.83 / $305.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $217.10 / $230.54