go back

Illinois rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.42 / $250.12 / $421.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.08 / $219.82 / $404.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.82 / $1,813.52 / $3,631.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.85 / $239.85 / $239.85
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.08 / $238.91 / $401.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $216.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $254.30 / $258.61