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West 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
$257.99 / $845.06 / $903.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $257.99 / $491.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.99 / $257.99 / $386.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.15 / $598.15 / $598.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.83 / $253.60 / $253.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $344.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.02 / $157.02 / $157.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $271.57 / $329.42