How Much Does Medicaid Pay for Pcv20 vaccine im?
HCPCS 90677 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $34.79 | 29,222 | $1,016,601.21 | 103 |
| Alaska | $0.00 | 322 | $0.00 | 3 |
| Arizona | $10.46 | 18,307 | $191,577.48 | 65 |
| Arkansas | $12.58 | 22,702 | $285,567.83 | 81 |
| California | $14.39 | 312,126 | $4,491,337.52 | 822 |
| Colorado | $10.00 | 16,014 | $160,182.04 | 85 |
| Connecticut | $13.69 | 16,228 | $222,103.97 | 49 |
| Delaware | $26.61 | 4,695 | $124,920.22 | 19 |
| District of Columbia | $16.56 | 3,518 | $58,262.75 | 13 |
| Florida | $3.54 | 96,606 | $341,761.99 | 273 |
| Georgia | $1.97 | 12,109 | $23,794.29 | 44 |
| Guam | $24.41 | 148 | $3,613.14 | 2 |
| Hawaii | $165.26 | 2,733 | $451,649.84 | 17 |
| Idaho | $2.63 | 5,798 | $15,234.12 | 28 |
| Illinois | $24.43 | 102,050 | $2,492,918.82 | 461 |
| Indiana | $5.53 | 51,239 | $283,395.11 | 132 |
| Iowa | $15.36 | 18,646 | $286,408.39 | 71 |
| Kansas | $6.02 | 9,575 | $57,662.14 | 66 |
| Kentucky | $7.67 | 43,563 | $334,177.89 | 80 |
| Louisiana | $2.90 | 31,028 | $89,849.90 | 108 |
| Maine | $25.38 | 13,345 | $338,641.89 | 34 |
| Maryland | $85.72 | 54,342 | $4,658,457.43 | 138 |
| Massachusetts | $29.00 | 53,112 | $1,540,360.98 | 127 |
| Michigan | $33.55 | 66,740 | $2,239,148.86 | 216 |
| Minnesota | $8.43 | 15,864 | $133,767.26 | 85 |
| Mississippi | $3.47 | 22,934 | $79,580.68 | 78 |
| Missouri | $11.30 | 22,211 | $250,909.42 | 72 |
| Montana | $17.55 | 1,871 | $32,842.76 | 18 |
| Nebraska | $14.19 | 10,206 | $144,854.04 | 23 |
| Nevada | $7.18 | 11,206 | $80,419.05 | 35 |
| New Hampshire | $1.45 | 1,451 | $2,108.49 | 15 |
| New Jersey | $73.47 | 54,188 | $3,981,396.97 | 182 |
| New Mexico | $11.10 | 14,829 | $164,665.42 | 49 |
| New York | $43.31 | 110,972 | $4,806,239.23 | 376 |
| North Carolina | $2.40 | 92,513 | $221,646.40 | 223 |
| North Dakota | $0.76 | 818 | $624.45 | 7 |
| Ohio | $11.52 | 99,907 | $1,150,743.30 | 166 |
| Oklahoma | $3.78 | 19,538 | $73,867.42 | 90 |
| Oregon | $20.47 | 10,502 | $215,021.22 | 61 |
| Pennsylvania | $5.76 | 66,524 | $382,962.99 | 314 |
| Puerto Rico | $11.03 | 17,832 | $196,764.98 | 81 |
| Rhode Island | $0.01 | 13 | $0.13 | 1 |
| South Carolina | $4.51 | 47,008 | $211,810.76 | 108 |
| South Dakota | $6.76 | 3,417 | $23,086.38 | 18 |
| Tennessee | $9.64 | 99,634 | $960,416.99 | 172 |
| Texas | $3.45 | 390,932 | $1,347,663.03 | 672 |
| U.S. Virgin Islands | $0.00 | 161 | $0.00 | 1 |
| Utah | $5.91 | 14,317 | $84,549.15 | 59 |
| Vermont | $0.00 | 1,245 | $0.00 | 13 |
| Virginia | $59.65 | 61,771 | $3,684,885.76 | 168 |
| Washington | $13.63 | 31,251 | $426,016.39 | 105 |
| West Virginia | $11.17 | 5,164 | $57,685.47 | 37 |
| Wisconsin | $22.64 | 18,664 | $422,487.31 | 77 |
| Wyoming | $4.08 | 1,106 | $4,516.03 | 11 |