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Illinois rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.80 / $164.60 / $383.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.01 / $164.60 / $250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.17 / $1,442.08 / $2,887.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.91 / $188.91 / $188.91
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $256.85 / $358.37
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $184.91 / $188.04