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Louisiana 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 / $192.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.60 / $216.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $177.69 / $266.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.69 / $177.69 / $181.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.59 / $177.07 / $188.04