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Minnesota 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 / $225.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $177.76 / $313.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.29 / $149.28 / $318.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.22 / $159.03 / $159.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.02 / $480.16 / $584.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.26 / $181.30 / $191.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.68 / $438.18 / $549.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.75 / $150.75 / $211.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.90 / $243.00 / $313.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $172.37 / $205.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $172.37 / $208.10