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Utah rates for HCPCS 90736

Zoster Vaccine Hzv Live For Subcutaneous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.92 / $216.92 / $894.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.92 / $216.92 / $216.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.19 / $238.19 / $238.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $258.48 / $262.86