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New Hampshire rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.81 / $339.30 / $565.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.82 / $219.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.64 / $323.27 / $887.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.82 / $219.82 / $219.82
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.64 / $356.99 / $678.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $215.51 / $258.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.50 / $240.80 / $3,000.00