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Louisiana rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $503.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $312.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.79 / $283.79 / $425.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.79 / $283.79 / $289.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $110.43 / $110.43
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $271.57 / $309.58