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Montana 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
$176.55 / $176.55 / $253.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $146.81 / $234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.82 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.36 / $152.36 / $354.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $131.13 / $152.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.36 / $152.36 / $354.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $144.81 / $188.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.30 / $132.30 / $140.50