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Minnesota rates for HCPCS G0009

Administration of pneumococcal vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $55.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $30.52 / $63.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.73 / $105.93 / $207.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $30.75 / $33.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.12 / $116.46 / $280.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.12 / $96.19 / $160.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $106.47 / $220.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.94 / $83.60 / $138.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.66 / $40.00 / $119.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $34.20 / $46.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $33.76 / $47.93