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Texas rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.74 / $306.58 / $644.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $366.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.80 / $467.73 / $924.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $235.25 / $235.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.43 / $110.43 / $110.43
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $271.57 / $1,071.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.75 / $243.93 / $280.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.98 / $253.60 / $388.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $257.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.09 / $304.43 / $304.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $232.19 / $348.29