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Vermont rates for HCPCS 90696

Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $73.20 / $96.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $204.80 / $235.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
MVP Health Care
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 / $66.25 / $76.58