go back

Wisconsin rates for HCPCS 90669

Pcv7 Vaccine For Intramuscular Use

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $239.88 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $128.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40