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Alaska rates for HCPCS 90732

Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.88 / $236.13 / $1,014.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $133.46 / $146.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $131.13 / $131.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.72 / $117.72 / $117.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $133.47 / $429.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.70 / $196.70 / $309.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.32 / $82.32 / $100.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.72 / $196.70 / $463.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.97 / $131.13 / $144.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $117.08 / $140.50