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Missouri 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
$126.56 / $140.50 / $186.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $133.46 / $161.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.47 / $142.81 / $479.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.80 / $140.50 / $140.50
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.45 / $144.81 / $526.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $140.50 / $141.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $138.15 / $141.66