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Missouri rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.80 / $271.57 / $356.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $257.99 / $360.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $438.58 / $926.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.57 / $271.57 / $271.57
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.23 / $279.89 / $1,018.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $275.52 / $312.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $275.52 / $312.01