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Maine rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.50 / $312.89 / $558.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $452.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.79 / $380.08 / $991.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $280.08 / $280.08
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $362.03 / $555.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.50 / $400.06 / $596.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $452.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $274.60 / $411.90