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Maryland 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 / $208.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $164.60 / $210.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $187.15 / $187.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.38 / $168.38 / $168.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.13 / $187.04 / $187.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00