go back

PCV20 Pneumococcal Vaccine Injection

Utah rates for HCPCS 90677

This is an injection of a vaccine that protects against 20 different strains of the bacteria that cause pneumococcal disease, including pneumonia, meningitis, and bloodstream infections. It is given as a shot into a muscle, usually the upper arm, and is recommended for many adults and some children to lower the risk of serious pneumococcal illness. A single dose is typically enough to update protection to the newer, broader-coverage version of the vaccine.

Facilitymedian $324 · 10th–90th $295$7760%20%10th90th$324Professionalmedian $309 · 10th–90th $251$4370%20%40%10th90th$309$200.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$707.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$363.08