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Louisiana rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.28 / $273.81 / $391.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.82 / $241.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.68 / $245.68 / $368.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.68 / $245.68 / $250.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $107.60 / $107.60
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.89 / $243.53 / $258.61