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Georgia 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
$34.20 / $66.56 / $365.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $73.90 / $94.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.24 / $73.22 / $78.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $64.08 / $64.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $65.44 / $127.61
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.20 / $109.00 / $109.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.22 / $421.22 / $421.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $76.58 / $88.27