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Iowa rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.32 / $387.57 / $594.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.12 / $360.00 / $819.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $318.83 / $398.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.19 / $409.93 / $566.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.08 / $340.74 / $652.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $324.02 / $387.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.74 / $375.48 / $447.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.76 / $375.48 / $447.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $310.30 / $334.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $312.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $312.89