go back

Tennessee 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
$61.25 / $66.56 / $109.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $97.05
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $149.58 / $272.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $71.98 / $76.58