go back

Maine rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $316.23 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $416.87