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Mississippi rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $288.40