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Vermont rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $287.26 / $378.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.87 / $329.87 / $591.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.87 / $329.87 / $549.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.87 / $329.87 / $549.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.59 / $283.93 / $288.60