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Nebraska rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $274.87 / $373.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.30 / $205.50 / $307.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.89 / $357.36 / $696.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $241.37 / $247.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.33 / $220.09 / $890.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $237.06 / $258.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.19 / $214.73 / $220.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.73 / $220.27 / $220.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $243.53 / $258.61