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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
$261.14 / $261.14 / $391.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.39 / $261.14 / $287.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.31 / $283.31 / $283.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.00 / $283.31 / $283.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.65 / $257.45 / $288.60