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Nationwide rates for HCPCS 90697

Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $186.21 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $165.96 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $218.78 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $169.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $512.86 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $204.17