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Minnesota rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $283.63 / $316.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $213.75 / $267.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.16 / $211.67 / $417.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $201.85 / $201.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.48 / $546.24 / $635.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $238.13 / $251.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.11 / $496.58 / $722.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $198.00 / $277.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.21 / $258.61 / $439.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.05 / $237.06 / $282.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.22 / $237.06 / $286.20