go back

Kentucky rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.44 / $345.01 / $620.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.04 / $312.89 / $394.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.08 / $330.30 / $625.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.07 / $280.08 / $280.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $344.19 / $500.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $328.55 / $438.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.95 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $398.49 / $398.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $315.79 / $334.54