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Virginia rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $312.22 / $751.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.82 / $342.91
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $205.00 / $205.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.61 / $258.61 / $334.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.96 / $245.68 / $317.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.96 / $245.68 / $317.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $258.61 / $258.61