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Colorado 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
$66.56 / $73.59 / $247.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $77.34 / $142.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.41 / $113.70 / $201.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $74.79 / $74.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $95.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $76.44 / $76.58