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New Hampshire rates for HCPCS G0009

Administration of pneumococcal vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $34.08 / $69.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $9.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $25.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $66.47 / $170.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $19.19 / $40.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $49.18 / $72.29