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Tennessee rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.26 / $257.99 / $425.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $257.99 / $335.38
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.89 / $543.14 / $1,018.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $304.43