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North Dakota rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $215.78 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $315.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.87 / $259.58 / $261.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.06 / $268.72 / $332.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.20 / $261.14 / $443.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.92 / $252.12 / $274.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $264.68 / $288.60