go back

Colorado 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 / $688.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $300.32 / $464.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.64 / $458.53 / $835.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.60 / $288.60 / $288.60
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $373.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.86 / $287.26 / $370.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $271.89 / $288.74