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Washington 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
$37.74 / $66.56 / $140.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $80.88 / $201.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.20 / $72.70 / $272.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $69.20 / $76.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.36 / $70.36 / $227.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $52.14 / $130.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $57.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.70 / $72.70 / $72.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $69.06 / $76.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.20 / $69.20 / $69.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.20 / $69.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $71.98 / $76.58