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Maine rates for HCPCS 90670

Pcv13 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $963.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $372.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.66 / $313.38 / $817.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $232.19 / $255.40
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $298.49 / $457.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $963.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $381.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.62 / $257.99 / $386.99