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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

Facilitymedian $170 · 10th–90th $95–$2000%20%40%10th90th$170Professionalmedian $132 · 10th–90th $129–$1700%50%10th90th$132$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $131.83 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $114.82 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $154.88 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $134.90 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $141.25