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North Dakota rates for HCPCS 90677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $394.27 / $457.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.99 / $312.89 / $378.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.92 / $296.23 / $300.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $318.83 / $398.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $345.60 / $938.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.23 / $302.06 / $334.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $302.06 / $327.84