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Washington rates for HCPCS 90670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.80 / $441.54 / $1,199.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $283.77 / $498.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.48 / $464.36 / $773.94
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $383.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $806.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.19 / $273.47 / $536.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.46 / $488.83 / $746.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.97 / $257.99 / $285.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.48 / $386.97 / $735.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $291.52 / $309.58