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Arkansas rates for HCPCS 90677

Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.86 / $312.89 / $506.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $312.89 / $344.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.13 / $391.13 / $391.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.47 / $339.47 / $339.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.70 / $339.47 / $339.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $293.82 / $334.54