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West Virginia rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.61 / $341.47 / $730.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.03 / $219.81 / $261.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.23 / $202.23 / $44,999.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $241.37 / $241.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $301.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.41 / $268.38 / $387.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $258.61 / $275.18