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Maryland rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.58 / $461.92 / $781.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.27 / $298.04 / $357.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $279.95 / $279.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $312.89 / $312.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $329.52 / $334.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.04 / $298.04 / $298.04