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Indiana rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $267.68 / $608.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.04 / $261.14 / $416.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $522.29 / $692.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.71 / $246.20 / $349.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $389.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $300.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.02 / $269.49 / $705.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.29 / $369.29 / $369.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $271.89 / $291.39