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Delaware 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
$115.14 / $115.14 / $115.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $66.56 / $77.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.56 / $111.56 / $111.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.58 / $76.58 / $95.55