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Maine 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
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $154.88 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $204.17