go back

South Carolina rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.75 / $524.13 / $827.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.66 / $312.89 / $406.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.09 / $560.09 / $560.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $329.37 / $395.24
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $344.19 / $757.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $307.00 / $334.54