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Maine rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $263.03 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $263.03 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $234.42 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $407.38