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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
$103.73 / $133.47 / $260.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $133.47 / $173.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.82 / $146.82 / $220.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.82 / $146.82 / $149.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $59.77 / $59.77
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $132.30 / $140.50