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Wisconsin rates for HCPCS 90671

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

Facilitymedian $407 · 10th–90th $269$8130%20%40%10th90th$407Professionalmedian $324 · 10th–90th $245$8510%20%10th90th$324$5.0$20.0$100.0$500.0

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
$269.15 / $407.38 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $346.74 / $501.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $575.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $275.42 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $269.15 / $269.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $616.60 / $851.14
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $269.15 / $398.11