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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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $52.48 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $74.13 / $79.43