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New Hampshire rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $292.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.26 / $470.07 / $1,184.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $233.78 / $261.14
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 / $269.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.66 / $445.25 / $846.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $240.62 / $288.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.31 / $303.11 / $3,000.00