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Indiana rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.42 / $474.96 / $540.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.50 / $219.82 / $318.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.29 / $431.02 / $646.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.84 / $219.82 / $303.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.48 / $305.48 / $407.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.48 / $305.48 / $378.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.16 / $241.37 / $609.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $243.53 / $258.61