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Pennsylvania rates for HCPCS 90756

Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $28.97 / $28.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $31.00 / $52.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $34.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.55 / $28.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $32.36 / $52.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $31.19 / $35.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $35.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $34.08 / $42.60