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Indiana rates for HCPCS 90717

Yellow fever vaccine, live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.45 / $239.86 / $493.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.59 / $239.86 / $352.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.92 / $470.32 / $705.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.18 / $228.45 / $308.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.02 / $65.02 / $84.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.02 / $65.02 / $104.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.38 / $263.38 / $263.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.54 / $263.38 / $632.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $265.73 / $282.19