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Montana rates for HCPCS G0009

Administration of pneumococcal vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $17.50 / $63.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $69.93 / $69.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.53 / $51.53 / $51.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.53 / $51.53 / $51.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $30.49 / $55.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $85.00