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Connecticut 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 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.91 / $397.00 / $782.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $233.78 / $233.78
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.74 / $259.74 / $259.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $288.60 / $597.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.56 / $240.62 / $265.51