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Idaho rates for HCPCS 90671

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

Facilitymedian $380 · 10th–90th $269–$5370%20%10th90th$380Professionalmedian $302 · 10th–90th $257–$4470%20%10th90th$302$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $295.12 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $309.03 / $446.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $537.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $288.40 / $288.40