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West Virginia rates for HCPCS 90677

Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.58 / $414.60 / $895.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.89 / $312.89 / $658.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $469.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.47 / $725.47 / $725.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.95 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $398.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.66 / $380.30 / $882.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.27 / $354.27 / $371.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $334.54 / $350.63