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Utah 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
$55.63 / $66.56 / $196.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $66.56 / $107.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $71.98 / $76.44