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Maryland 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 / $334.11 / $4,208.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $257.99 / $309.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $271.57 / $271.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.52 / $257.99 / $320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $291.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $257.99