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Oregon rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.51 / $258.51 / $258.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $285.00 / $740.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.40 / $513.40 / $513.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.38 / $573.14 / $667.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $373.44 / $561.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $276.81 / $339.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.56 / $276.81 / $542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.06 / $373.44 / $750.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.12 / $269.49 / $307.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.41 / $841.84 / $995.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $259.74 / $259.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.89 / $288.74 / $288.74