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New Hampshire 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
$108.32 / $133.47 / $224.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $133.47 / $133.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.08 / $240.25 / $605.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.12 / $120.12 / $133.47
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.05 / $216.77 / $411.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $117.08 / $140.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $123.40 / $189.28