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New Hampshire 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 / $74.55
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
$75.09 / $94.23 / $258.55
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.28 / $105.84 / $196.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $63.70 / $76.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.85 / $69.42 / $102.05