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Arkansas rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.60 / $164.60 / $246.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.60 / $181.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $93.04 / $93.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.62 / $156.62 / $156.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.62 / $156.62 / $156.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.69 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.87 / $167.67 / $187.09