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Vermont rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $344.18 / $453.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.24 / $395.24 / $708.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.24 / $395.24 / $649.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.24 / $395.24 / $649.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $285.58 / $334.54