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Illinois 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
$66.07 / $147.91 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $281.84 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $186.21 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $141.25