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Georgia 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
$76.20 / $127.55 / $127.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $176.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.94 / $139.93 / $150.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.46 / $122.46 / $122.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $125.41 / $245.79
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $67.37 / $103.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.22 / $371.22 / $371.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $150.08