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Arkansas rates for HCPCS 90671

Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $251.19 / $288.40