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Massachusetts rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.56 / $370.37 / $897.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.25 / $312.89 / $527.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.04 / $760.66 / $1,020.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $315.79 / $372.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.74 / $399.26 / $851.09
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $494.38 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.95 / $312.89 / $649.83
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.95 / $785.43 / $1,787.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.47 / $339.47 / $658.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $334.54 / $411.90
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.18 / $514.55 / $701.64
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $361.52 / $444.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $334.54 / $384.45