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Alaska rates for HCPCS G0009

Administration of pneumococcal vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $25.73 / $50.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $18.39 / $40.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $29.44 / $29.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.33 / $50.13 / $64.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.75 / $130.00 / $190.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $29.44 / $29.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.33 / $60.00 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $36.64 / $55.28