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Nationwide rates for HCPCS 90696

Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $79.43 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $85.11 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $251.19 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $74.13 / $79.43