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Louisiana 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
$97.72 / $208.93 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $131.83 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $144.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $60.26 / $60.26
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $141.25