go back

Missouri rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.31 / $207.35 / $309.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $219.81 / $241.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.91 / $366.37 / $567.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.47 / $237.47 / $237.47
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $245.68 / $890.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $258.61 / $260.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $258.61 / $269.39