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Utah 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
$89.13 / $131.83 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $165.96 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $354.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $141.25 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $141.25