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Utah rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.13 / $312.89 / $771.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.00 / $312.89 / $506.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.71 / $426.03 / $426.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $310.30 / $329.52