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West Virginia 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
$134.90 / $218.78 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $134.90 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $199.53 / $199.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $630.96 / $630.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $158.49 / $263.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $147.91