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North Carolina rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.20 / $246.20 / $287.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $261.14 / $334.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.06 / $507.06 / $624.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.12 / $252.12 / $252.12
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 / $288.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.20 / $302.38 / $310.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.84 / $186.84 / $186.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $276.70 / $288.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.60 / $314.60 / $549.78