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Pennsylvania rates for HCPCS 90716

Varicella virus vaccine (VAR), live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $195.83 / $588.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.40 / $200.56 / $558.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $230.39 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.87 / $218.87 / $218.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.38 / $179.84 / $250.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.18 / $186.53 / $588.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $205.00 / $576.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.90 / $946.73 / $1,387.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.06 / $163.06 / $163.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $163.06 / $163.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $230.39 / $287.99