go back

Pennsylvania 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
$43.75 / $133.46 / $352.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $153.00 / $270.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.43 / $140.50 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $133.47 / $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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.22 / $245.00 / $656.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.25 / $133.47 / $389.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.51 / $146.01 / $270.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.13 / $131.13 / $131.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $131.13 / $131.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.47 / $136.13 / $154.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $133.47 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $140.50 / $175.63