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Oregon rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.01 / $164.60 / $322.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.82 / $350.82 / $350.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.60 / $235.38 / $353.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.62 / $156.62 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $134.53 / $134.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.25 / $235.38 / $446.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.94 / $175.41 / $188.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.43 / $168.43 / $168.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.07 / $187.09 / $188.04