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Kansas rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.59 / $324.87 / $889.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.27 / $312.89 / $389.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.38 / $354.72 / $373.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.77 / $313.77 / $313.77
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
$294.39 / $304.61 / $384.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.27 / $324.02 / $334.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.27 / $324.02 / $334.54