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Texas rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.04 / $288.60 / $444.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $288.60 / $371.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.88 / $627.38 / $1,251.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.16 / $268.16 / $268.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.60 / $549.78 / $1,000.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $288.60 / $412.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.68 / $246.68 / $261.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $269.49 / $412.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $269.49 / $269.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.59 / $283.93 / $288.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.20 / $228.20 / $352.55