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North Carolina rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.66 / $461.01 / $652.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $312.94 / $663.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.24 / $545.24 / $671.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.61 / $264.61 / $302.06
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 / $329.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.66 / $362.31 / $372.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.64 / $219.64 / $219.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $329.52 / $362.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.47 / $339.47 / $658.74