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Illinois rates for HCPCS 90669

Pneumococcal Vacc, Ped <5

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.84 / $238.56 / $502.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00