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Pennsylvania rates for HCPCS 90749

Unlisted vaccine/toxoid

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.60 / $16.60