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New York rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $331.13 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $263.03 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $1,230.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $363.08 / $870.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $257.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $398.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.19
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $288.40