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Pennsylvania rates for HCPCS G0009

Administration of pneumococcal vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $22.44 / $113.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $32.85 / $55.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $37.97 / $37.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $32.50 / $36.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $64.00 / $207.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $31.57 / $122.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $31.40 / $52.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.47 / $480.12 / $598.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $28.87 / $30.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $30.05 / $30.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $16.89 / $32.57