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Massachusetts rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,148.15 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $269.15 / $776.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $676.08 / $870.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $426.58 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $501.19
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,548.82 / $1,698.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $676.08 / $870.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $288.40 / $363.08