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Idaho rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.70 / $261.58 / $467.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.85 / $219.82 / $496.35
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $233.01 / $314.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $215.51 / $237.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.47 / $284.47 / $290.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.53 / $258.61 / $258.61