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Alaska rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.72 / $279.16 / $382.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.59 / $219.81 / $241.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.59 / $178.59 / $178.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $215.51 / $215.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.46 / $332.46 / $522.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.89 / $124.89 / $124.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.59 / $332.46 / $783.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.93 / $120.93 / $241.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $219.21 / $258.61