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Maryland 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 / $201.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.97 / $66.56 / $91.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $74.79 / $74.79
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
$68.92 / $68.92 / $68.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $73.79 / $76.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $61.22 / $61.22