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Idaho rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $297.70 / $415.23
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $276.82 / $373.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $326.44 / $326.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.54 / $380.48 / $566.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.45 / $317.45 / $324.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.89 / $288.60 / $288.74