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Idaho 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
$158.82 / $168.96 / $170.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $133.47 / $161.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.13 / $131.13 / $131.13
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
$20.56 / $133.47 / $190.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $146.82 / $166.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $200.22 / $293.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.55 / $154.55 / $158.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.30 / $140.50 / $140.50