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Montana rates for HCPCS 90750

Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use

Facilitymedian $302 · 10th–90th $204–$5890%20%10th90th$302Professionalmedian $219 · 10th–90th $166–$5250%20%10th90th$219$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $257.04