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Kansas 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 / $302.38 / $313.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $270.00 / $321.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.87 / $242.87 / $242.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.13 / $300.68 / $308.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.89 / $274.89 / $274.89
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.84 / $266.91 / $389.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.79 / $270.45 / $275.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.98 / $283.93 / $288.74