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Indiana rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.94 / $715.30 / $801.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $312.89 / $580.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $625.79 / $829.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.07 / $280.08 / $397.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $466.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $359.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $307.55 / $805.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $299.31 / $334.54