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Pennsylvania rates for HCPCS 90682

Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $30.52 / $68.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $66.78 / $130.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.68 / $77.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $73.40 / $73.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $43.42 / $116.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $69.94 / $157.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.94 / $71.34 / $81.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.94 / $69.94 / $81.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $77.26 / $92.71