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Texas rates for HCPCS 90671

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

Facilitymedian $479 · 10th–90th $245$1,0000%5%10%10th90th$479Professionalmedian $288 · 10th–90th $269$5370%20%10th90th$288$200.0$500.0$1.0K$2.0K

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
$239.88 / $426.58 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $288.40 / $537.03
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
$245.47 / $630.96 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $645.65 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $346.74 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $288.40 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $239.88 / $269.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $851.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $288.40