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Arizona rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $481.23 / $515.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.49 / $294.11 / $602.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.76 / $893.42 / $1,400.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.69 / $249.74 / $1,641.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $279.89 / $368.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $291.52 / $309.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $291.52 / $309.58