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Arizona rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.45 / $432.30 / $554.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.72 / $360.83 / $727.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.68 / $1,038.83 / $1,606.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.22 / $269.41 / $1,990.42
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.97 / $338.50 / $752.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.30 / $329.52 / $334.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.30 / $329.52 / $334.54