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Connecticut 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
$125.89 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $125.89 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $204.17 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $144.54