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Texas rates for HCPCS 90717

Yellow Fever Vaccine Live Subq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.77 / $282.19 / $426.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.86 / $282.19 / $331.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.78 / $291.45 / $568.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.24 / $138.24 / $138.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.38 / $263.38 / $263.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $263.38 / $263.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.39 / $537.52 / $924.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.84 / $268.76 / $403.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.55 / $263.38 / $403.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $263.38 / $263.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.40 / $277.49 / $282.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.60 / $199.60 / $269.45