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Minnesota rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $386.92 / $456.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.99 / $337.93 / $595.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.89 / $288.66 / $596.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.32 / $312.89 / $312.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.08 / $967.25 / $1,177.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.01 / $365.22 / $404.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.83 / $882.68 / $1,107.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $318.83 / $446.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $312.89 / $528.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.23 / $302.06 / $364.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.23 / $302.06 / $364.67