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Louisiana 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 / $261.14 / $295.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $315.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.27 / $287.27 / $430.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.27 / $287.27 / $293.02
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.88 / $271.89 / $288.74