go back

Pennsylvania rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $98.16 / $220.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $98.16 / $155.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.83 / $103.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $75.34 / $131.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.73 / $124.66 / $220.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $98.16 / $155.97
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.53 / $59.53 / $60.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $83.49 / $101.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $103.33 / $124.00