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Virginia rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $239.88 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $457.09 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $389.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
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
$251.19 / $363.08 / $380.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $389.05
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $380.19
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $331.13