go back

Missouri rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.59 / $298.22 / $443.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.99 / $312.89 / $419.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $531.92 / $1,123.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.77 / $313.77 / $318.22
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.39 / $338.50 / $1,176.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $329.52 / $334.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $324.02 / $334.54