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Delaware rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.23 / $526.71 / $804.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.04 / $312.89 / $348.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $499.27 / $1,022.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.54 / $334.54 / $411.90