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Utah rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.56 / $362.72 / $362.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.59 / $271.89 / $288.74