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Nebraska 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 / $650.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.38 / $290.00 / $425.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.26 / $292.07 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.47 / $289.14 / $292.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.00 / $261.00 / $261.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $262.88 / $328.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $257.99 / $1,018.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $283.79 / $309.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.33 / $309.58 / $366.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.76 / $309.58 / $547.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $283.79 / $304.43