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Iowa rates for HCPCS 90669

Pneumococcal Vacc, Ped <5

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.13 / $100.13 / $125.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $179.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $115.72 / $134.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $115.72 / $181.99