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Pennsylvania rates for HCPCS 90686

Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $35.49 / $64.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $28.00 / $58.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.50
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $37.42 / $1,136.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.01 / $23.54 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $41.30 / $70.58
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $211.51 / $873.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $36.92 / $88.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $27.94 / $57.35
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.00 / $297.08 / $355.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.95 / $24.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $24.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $23.53 / $36.50