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Minnesota rates for HCPCS 90677

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

Facilitymedian $603 · 10th–90th $316–$9770%20%10th90th$603Professionalmedian $316 · 10th–90th $257–$5500%20%10th90th$316$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $602.56 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $380.19 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $977.24 / $1,202.26
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $380.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $316.23 / $524.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $331.13 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $331.13 / $524.81