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Arizona rates for HCPCS 90698

Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $140.30 / $326.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.11 / $144.00 / $411.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.22 / $426.18 / $675.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $114.66 / $759.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.65 / $139.41 / $182.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.99 / $135.66 / $144.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.99 / $135.66 / $144.07