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Pennsylvania rates for HCPCS 90687

Iiv4 Vacc Split Virus 0.25 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $9.34 / $14.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $25.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $11.22 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $10.66 / $10.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $9.34 / $15.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $25.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $10.44 / $11.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $10.24 / $11.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $13.19