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West Virginia rates for HCPCS 90671

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.30 / $390.10 / $559.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $271.70 / $560.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $261.14 / $391.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.49 / $605.49 / $605.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.66 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $349.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.73 / $294.95 / $498.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.36 / $291.36 / $310.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $288.60 / $307.24