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Maryland rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.45 / $326.25 / $490.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $187.08 / $219.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.82 / $219.82 / $219.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.00 / $267.00 / $267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.35 / $258.61 / $258.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $215.51 / $215.51