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New Hampshire rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $229.09 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $588.84 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $263.03
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 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $295.12