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Connecticut rates for HCPCS 90696

Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $190.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $105.22 / $194.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $64.08 / $64.08
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $67.31 / $67.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $74.79 / $74.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $63.70 / $70.45