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North Carolina rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $436.52 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $257.04 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $501.19 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $239.88 / $257.04
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 / $269.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $275.42 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $426.58 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $309.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83