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Alaska rates for HCPCS 90670

Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.72 / $483.72 / $483.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $283.77 / $386.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.38 / $553.38 / $553.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $830.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.20 / $380.20 / $597.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.20 / $543.14 / $896.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $279.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $271.57