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Washington 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
$253.56 / $300.00 / $740.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.06 / $456.57 / $760.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $259.74 / $288.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $513.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.56 / $271.00 / $493.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.64 / $487.20 / $734.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.66 / $261.14 / $288.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.06 / $380.48 / $722.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $259.74 / $259.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $271.89 / $288.74