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Wisconsin rates for HCPCS 90670

Pcv13 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $464.41 / $540.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.50 / $288.00 / $498.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.28 / $554.67 / $575.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $232.19 / $314.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.78 / $539.20 / $539.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $626.34 / $895.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $567.35 / $644.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $568.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.98 / $515.98 / $515.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.23 / $257.99 / $568.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $515.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $629.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $568.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.98 / $515.98 / $515.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $608.63 / $877.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.39 / $1,018.39 / $1,018.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.08 / $362.22 / $362.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $412.78