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Indiana rates for HCPCS 90749

Unlisted Vaccine/Toxoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.72 / $125.72 / $125.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,999.46 / $53,999.46 / $67,999.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,999.46 / $64,799.35 / $72,899.27