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New York rates for HCPCS G0009

Administration of pneumococcal vaccine

Facilitymedian $72 · 10th–90th $10$1410%10%10th90th$72Professionalmedian $30 · 10th–90th $10$550%20%10th90th$30$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $77.62 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $31.62 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $47.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $162.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $37.15 / $89.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $112.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.50 / $32.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $61.66 / $63.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $63.10
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $109.65 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $29.51 / $64.57
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $22.39
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $32.36