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Idaho rates for HCPCS 90696

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $74.50 / $126.60
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $70.55 / $95.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.82 / $62.82 / $69.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.58 / $84.58 / $86.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $76.44 / $76.58