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Virginia rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.74 / $449.63 / $868.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $626.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $660.22 / $1,063.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $280.08 / $280.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.70 / $463.93 / $700.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.97 / $334.54 / $375.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $476.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.27 / $312.89 / $404.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.27 / $312.89 / $404.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $334.54 / $350.63