go back

Minnesota 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
$99.64 / $133.47 / $246.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $163.80 / $314.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.80 / $155.07 / $302.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.68 / $433.10 / $527.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $163.53 / $172.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $395.23 / $496.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $135.97 / $190.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.37 / $126.45 / $300.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.15 / $128.79 / $155.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.15 / $128.79 / $155.47