go back

North Dakota 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 / $257.99 / $257.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $312.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $262.88 / $328.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $438.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $283.79 / $283.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $283.79 / $291.52