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Tennessee rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.43 / $235.86 / $280.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.66 / $219.82 / $280.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.68 / $517.22 / $890.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $215.51 / $258.61