go back

Illinois rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $287.27 / $369.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $288.63 / $490.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.28 / $2,135.36 / $4,276.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $277.64 / $277.64
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $355.16 / $522.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.50 / $339.50 / $339.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $274.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $286.31 / $288.74