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Utah rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.53 / $225.15 / $278.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.08 / $219.82 / $342.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.73 / $243.53 / $258.61