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Montana rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.30 / $285.94 / $366.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.60 / $219.81 / $300.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.48 / $241.37 / $241.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.53 / $243.53 / $258.61