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Ohio rates for HCPCS G0009

Administration of pneumococcal vaccine

Facilitymedian $45 · 10th–90th $15–$1020%10%10th90th$45Professionalmedian $20 · 10th–90th $9–$350%20%10th90th$20$0.2$1.0$5.0$20.0$100.0

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
$15.14 / $44.67 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $45.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $70.79 / $107.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $112.20 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $33.88