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Maine rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.66 / $219.81 / $761.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.81 / $241.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.34 / $666.34 / $666.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.82 / $219.82 / $219.82
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.82 / $254.33 / $390.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.66 / $118.04 / $761.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.81 / $252.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.01 / $215.51 / $342.04