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Montana rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $275.20 / $413.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.41 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.10 / $298.10 / $298.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $298.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.10 / $298.10 / $298.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $283.31 / $369.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.89 / $271.89 / $288.74