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New Hampshire rates for HCPCS 90717

Yellow fever vaccine, live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.33 / $171.33 / $255.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.86 / $239.86 / $239.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.13 / $352.74 / $967.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.45 / $228.45 / $239.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.38 / $263.38 / $263.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.38 / $263.38 / $263.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.54 / $399.37 / $740.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $235.16 / $282.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.70 / $164.99 / $253.08