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Tennessee rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.83 / $261.14 / $627.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $337.50
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.60 / $549.78 / $1,000.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $271.89 / $288.60