go back

Arizona rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.13 / $311.68 / $387.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $219.82 / $444.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.50 / $190.50 / $190.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.49 / $768.94 / $1,218.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.24 / $206.89 / $1,370.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $245.68 / $314.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.53 / $258.61 / $258.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.53 / $258.61 / $258.61