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Idaho rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $294.11 / $402.46
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.40 / $257.99 / $368.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $322.49 / $322.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.80 / $386.97 / $567.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $309.58 / $361.19