go back

Iowa rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.57 / $271.57 / $650.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.62 / $303.00 / $835.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $272.67 / $328.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $322.49 / $466.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.23 / $309.58 / $438.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.10 / $291.52 / $363.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.62 / $309.58 / $386.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.87 / $305.77 / $404.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $291.52 / $304.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $257.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $257.99