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Arizona rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.06 / $220.48 / $246.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.01 / $184.35 / $354.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $154.75 / $154.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.46 / $556.20 / $881.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.87 / $149.63 / $991.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.60 / $183.72 / $235.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.07 / $187.09 / $188.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.07 / $187.09 / $188.04