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Georgia rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.39 / $335.30 / $1,183.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.66 / $329.37 / $563.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $364.68 / $1,148.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $280.08 / $280.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $613.28
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.04 / $306.98 / $327.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.17 / $824.34 / $870.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $334.54 / $343.25