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North Carolina 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
$95.50 / $208.93 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $275.42 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82
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 / $141.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $218.78 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $141.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87