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Maine rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $358.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.71 / $317.22 / $827.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $233.78 / $257.14
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.17 / $317.20 / $486.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $271.70 / $377.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $240.62 / $421.09