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Missouri rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $274.89 / $339.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $261.14 / $315.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $443.96 / $938.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.76 / $274.89 / $274.89
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $314.60 / $1,000.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.20 / $274.89 / $277.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $282.83 / $291.01