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Minnesota rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $261.14 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $285.00 / $464.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.20 / $253.56 / $507.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.92 / $261.14 / $261.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.16 / $822.85 / $1,001.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.72 / $310.69 / $337.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.44 / $750.90 / $942.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.06 / $266.06 / $372.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $494.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.92 / $252.12 / $300.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.65 / $264.68 / $337.74