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Indiana rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.60 / $362.04 / $428.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.81 / $164.60 / $235.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.45 / $313.24 / $469.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $159.75 / $215.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.24 / $179.24 / $299.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.24 / $179.24 / $179.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.18 / $175.41 / $464.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $177.07 / $188.04