go back

Indiana rates for HCPCS 90736

Zoster Vaccine Hzv Live For Subcutaneous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $216.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.91 / $216.92 / $216.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $234.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.08 / $234.00 / $322.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.57 / $122.57 / $159.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.57 / $122.57 / $196.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.19 / $238.19 / $238.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.19 / $238.19 / $655.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $247.53 / $262.86