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Maryland rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $261.14 / $274.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.66 / $233.66 / $245.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $261.14 / $261.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $278.75 / $288.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $253.56 / $253.56