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Oregon rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $269.15 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $257.04 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $616.60 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $436.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $251.19 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $562.34 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $288.40 / $309.03