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New Jersey rates for HCPCS 90677

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

Facilitymedian $380 · 10th–90th $214–$1,1480%10%10th90th$380Professionalmedian $309 · 10th–90th $269–$5010%50%10th90th$309$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$213.80 / $380.19 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $323.59 / $67,608.30
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $363.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $10,715.19 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $295.12 / $363.08