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Pennsylvania rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.33 / $257.99 / $714.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.49 / $290.00 / $510.82
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.92 / $264.92 / $264.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.83 / $271.57 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $257.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $95.17 / $95.17
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.92 / $264.92 / $264.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.00 / $257.99 / $873.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.65 / $288.00 / $510.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $263.14 / $299.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $299.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $339.46