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Nevada 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
$66.56 / $66.56 / $74.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $80.88 / $213.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.48 / $65.95 / $200.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $74.79 / $74.79
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $63.57 / $190.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $71.98 / $76.58