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Nebraska rates for HCPCS 90671

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

Facilitymedian $269 · 10th–90th $257–$4790%50%10th90th$269Professionalmedian $269 · 10th–90th $170–$3980%20%10th90th$269$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $269.15 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $295.12 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $346.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $562.34 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $251.19 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $288.40